Complaint Investigation Report

Interviews with facility staff indicated that the corrective measures implemented to address R1 behaviors were insufficient and the one-to-one staffing plan that was developed for safety was not followed.

Due to R1 documented pattern of inappropriate behavior toward R2 and other residents at the facility, combined with facility’s failure to implement timely and effective corrective measures, this allegation is Substantiated.

One deficiency is being cited on today’s visit and an immediate $500 civil penalty is being assessed.

Exit interview conducted and copy of report left with the administrator.