Complaint Investigation Report

Based on record review, and interviews - Physician (MD) stated that the resident (R7) had a medical condition that is "not very common and does not have exact statistics." Physician stated depending on the cause it could be prevented and it can also not be prevented. It can happen for different reasons..." Based on record review, R7s condition has unknown etiology.

On 4/29/2024 - LPAs interviewed R1 to R6, they did not witness staff physically abuse a resident. R1 did not engage in conversation with LPAs R1 spouse was in the facility visiting at the time of the visit and stated will not let anyone get in trouble. R2 stated staff are friendly, however, R2 stated there was a time when a staff was rough with resident, but does not remember when it happened. R3 stated, "it's not abusive, the situation was difficult because it's not easy to care for R1." R4 stated no issues with staff. R5 stated did not observed being rough to a resident, staff are fine. R6 stated staff are good.

On 5/1/2024 - LPA interviewed S1. S1 stated R1 became very lethargic at one time and it scared S1. S1 tried to wake R1 and put cold towel to wake R1. S1 demonstrated the tapping to LPA to wake R1.

Staff made inappropriate comment(s) to resident

On 4/29/2024 - LPA interviewed W1, and stated he/she heard LIC/ADM call R4 stupid, over and over again. W1 stated no one else witnessed the incident because everyone was in the kitchen. R1 does not want to engage in conversation, R2 stated staff are friendly. R4 stated no issues with staff. R5 stated no comment to add. R6 stated he doesn't know.

Based on the written statement of W1 dated 8/19/2024. W1 did not state the date and time when the incident happened.