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13 | At 8:40 a.m. on 09/10/25 Licensing Program Analyst (LPA) Nicholas Reed conducted an unannounced complaint visit. LPA met with staff and later the administrator and disclosed the reason for the visit.
Regarding the allegation "Staff physically abused resident" it was alleged staff abuse Resident #1 (R1) by pulling their hair, ripping their clothes, pushing them down, and kicking them. To investigate the allegation above, LPA conducted a file review at 8:30 a.m. today, interviewed staff and at least ten percent of residents [eleven (11) out of one-hundred three (103) residents] between 8:40 a.m. and 2:45 p.m., toured the facility inside and out at 9:00 a.m., and conducted a record review of pertinent records, including but not limited to an admission agreement, medical assessment, care plan, and client roster at 2:00 p.m. File review revealed R1 was hospitalized on the evening of 08/23/25 after staff found R1 had fallen in their room. LPA Reed attempted to contact R1 at 3:15 p.m. on 09/09/25 and at 11:45 a.m. and 1:15 p.m. today. R1 was unavailable for an interview. Interviews with eleven (11) out of eleven (11) residents today revealed they had not experienced or witnessed physical abuse from staff. |