The details of the complaint alleged that the staff hit the resident (R1) while in care. It was reported that there was a concern of elder abuse. On 7/11/25, from 10:00am-2:00pm, the department interviewed staff (S1-S4) and residents (R1-R5) regarding the allegation. 4 of 4 staff denied the allegation that Staff are hitting a resident. All staff (S1-S4) interviewed stated that they have not witnessed nor have any knowledge of the resident being hit by anyone at the facility. They further state that any signs of abuse would be reported, and the resident’s family would be contacted. They stated that there is no evidence of abuse.

The department interviewed residents (R1-R5) about the allegation and 5 of 5 residents that were interviewed denied any knowledge of residents being hit or abused in any way. All residents stated that they were satisfied with the care and supervision provided by the staff and feel safe living in the facility.

The Department reviewed the Physicians Report (Dated: 05/28/2025), Comprehensive Assessment/Observation (Dated: 05/27/2025), and Service Plan (Dated: 05/28/2025, 06/13/2025, 06/19/2025) and did not observe any reported abuse of the resident or indications on the physician’s report that abuse may have happened.

Based on interviews and records reviewed, there is insufficient evidence to support the allegation that the Staff are hitting a resident. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is Unsubstantiated.

Allegation #2- Staff are restraining residents.

The details of the complaint alleged that the facility may have restrained the resident (R1) to a wheelchair while at the facility. On 7/11/25, from 10:00am-2:00pm, the department interviewed staff (S1-S4) and residents (R1-R5) regarding the allegation. 4 of 4 staff denied the allegation that Staff are restraining residents. All staff (S1-S4) interviewed stated that they have not restrained any resident in anyway. They state that they have no knowledge of any staff restraining the resident(s) or restraining them in their wheelchair to restrict their movements.

The department interviewed residents (R1-R5) about the allegation and 5 of 5 residents that were interviewed denied any knowledge of staff restricting their movements by restraining them in any form. All residents stated that they have never been restrained by any staff at this facility.

Report Continued On LIC9099-C

Based on interviews and records reviewed, there is insufficient evidence to support the allegation that the Staff are restraining residents. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is Unsubstantiated.

Allegation #3- Staff are not meeting residents’ dietary needs.

The details of the complaint alleged that there is a concern for the resident (R1) because they are losing weight. On 7/11/25, from 10:00am-2:00pm, the department interviewed staff (S1-S4) and residents (R1-R5) regarding the allegation. 4 of 4 staff denied the allegation that Staff are not meeting residents’ dietary needs. All staff (S1-S4) interviewed stated that the resident is eating a regular type of diet, and the consistency is regular too. Staff stated the resident does need assistance with eating, they noticed that if they just place the food at the table the resident will not eat enough. They state that when they assist the resident with eating their meal, the resident will eat more. Staff state that they are always encouraging the resident to eat more.

The department interviewed residents (R1-R5) about the allegation and 5 of 5 residents that were interviewed denied that the staff are not meeting their dietary needs. All residents that were interviewed stated that the facility provides them with enough nutritious food to eat. They state further that they are getting enough food and does not feel deprived of anything.

The Department reviewed the Menu (Dated: Week 1-Week 5 June & July 2025), and Diet Request Form (Dated: 05/28/2025) and observed that the resident’s are getting a variety of nutritious foods for breakfast, lunch, and dinner. The menu was a healthy diet that emphasizes a wide variety of foods from all food groups, including fruits, vegetables, grains, lean protein sources (like fish, beans, eggs, lean meats) and dairy and dairy alternatives. The department also reviewed the resident’s Face Sheet (Dated: 05/28/2025) and observed that the resident weighed 102.2 pounds when the resident moved in, and now the resident’s current weight as of 07/02/2025 is 103.8 pounds.

Based on interviews and records reviewed, there is insufficient evidence to support the allegation that the Staff are not meeting residents’ dietary needs. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is Unsubstantiated.

No deficiencies were cited.

An exit interview was conducted with Christina Hale, Administrator, and a hard copy of this Complaint Investigation Report was provided.