On the allegation, Staff yelled at resident it is the concern of the Reporting Party (RP) that S1 yelled at R1 to use their walker. To investigate this complaint, LPA conducted in person interviews, telephonic interviews, file and record review and obtained copies of pertinent documentation relevant to the investigation.

Interview with R1 revealed that the alleged incident was a misunderstanding. R1 stated that S1 did not yell at them. R1 explained that during an in home visit with a new provider, S1 was encouraging them to use their walker. R1 reported that S1 typically uses a “higher pitched voice.” R1 described the home as generally loud, stating that staff often speak loudly due to cultural communication styles and because one of the residents has a significant hearing impairment that requires others to speak at a higher volume or pitch. R1 stated that for someone unfamiliar with the dynamics of the home, the louder communication style could be perceived as shouting or yelling, but staff did not yell at them.

Resident interviews revealed that staff do not yell at them. Residents reported they have never witnessed staff yelling at other residents. Residents stated they have not witnessed staff yell at R1, and specifically have not observed S1 yell at R1.

Staff interviews revealed that staff do not yell at residents. Staff reported they have not witnessed any staff member yelling at other residents. Staff demonstrated knowledge of resident rights, types of abuse, and reporting procedures.

Interview with S1 revealed that they do not yell at R1 and did not yell during the alleged incident. S1 stated they were encouraging R1 to use their walker, as R1 has an unsteady gait and is considered a fall risk. S1 reported that R1 frequently refuses to use the walker, and staff can only encourage its use because R1 has the right to make their own choices.

Interview with the family member/POA of a resident revealed that facility staff treat the resident with dignity and respect. The POA reported that they visit the facility regularly and have never had any issues with staff. The POA stated that their family member has a significant hearing impairment, which requires staff to speak at a higher pitch or louder volume; however, staff are not yelling and are not disrespectful. The POA reported they have never witnessed staff yelling at residents and have never observed S1 yelling at residents.

Report continued on LIC 9099-C PAGE 3...

Record review revealed that R1’s Physician’s Report dated 08/25/2025 identifies R1 as ambulatory with motor impairment, use of a walker, unsteady gait, weakness, and fall risk.

Although the allegations may have happened or are valid, there is insufficient evidence to prove the alleged violation did or did not occur. Therefore, the allegation of Staff yelled at resident is deemed unsubstantiated at this time. Exit interview conducted. Report was reviewed and a copy was provided.