Complaint Investigation Report

Staff pushed resident causing fall injury:

The allegations are that the facility staff slapped a resident's head with open hand, and the facility staff pushed the resident R1's door of the bedroom and hit the resident R1 causing fall injury.

On 2/1/2024, LPA interviewed resident R1. R1 stated on 11/20/2023 night, a staff opened his/her bedroom door without permission. R1 was at the back of the door and was hit. R1 stated he/she felt pain but did not fall down.

R1 stated on 12/14/2023, he/she was in the bedroom watching his/her tablet. R1 stated S1 came in the room and took the tablet. R1 stated he/she got it back and S1 slapped his/her head. R1 stated he/she did not get injuries.

LPA interviewed 5 residents. 1 out 5 residents just moved in the facility for 3 days and was unable to answer the questions. 3 out 5 residents stated they did not see any staff hit or slapped residents. 1 out 5 residents stated he/she heard residents R1 and staff S1 had altercations, but he/she did not see S1 hit or slapped R1.

LPA interviewed staff S1. S1 stated he/she is a night shift staff. S1 stated he/she needs to provide supervision to residents to make sure residents were sleeping in the rooms, and to make sure the head count is correct. S1 stated on 11/20/2023, he/she opened R1's bedroom door and the door hit R1. S1 stated it was not a hard hit and R1 did not fall down.

S1 stated on 12/14/2023, he/she entered R1's bedroom because R1 was making noise by watching movie on R1's tablet. S1 stated he/she took R1's tablet but R1 took it back immediately. S1 denied he/she slapped R1.

LPA interviewed 2 staff (S2, S3). Both stated they did not see S1 hit or slapped R1.