The complaint alleged that staff yelled at a resident, R1. On July 16, 2026, the department interviewed the Administrator (A1), who denied the allegation and stated that the facility provided in-service training on clients' personal rights and ensured that no staff member would yell at a resident, including R1, for any reason.

During the same investigation, the department interviewed five staff members (S1-S5), all of whom denied the allegation and stated that they had never witnessed any staff member yelling at residents. Furthermore, none of the staff members reported that residents, including R1, had indicated any instances of being yelled at.

The department also interviewed ten residents (R2-R11), all of whom denied being yelled at by any staff member. In fact, some residents jokingly said they were the ones who tended to yell at the staff. Additionally, the department spoke with a witness (W), who also denied witnessing any staff members yelling at R1 or hearing R1 complaints about it.

Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove that the alleged violation(s) did or did not occur; therefore, the allegation is unsubstantiated.

The complaint alleged that the staff argued with resident R1 and then placed their hands on R1, resulting in R1 being hospitalized. On July 16, 2026, the department interviewed the Administrator (A1), who denied the allegation and stated that it was actually a resident, not a staff member, who was arguing with R1. The facility provided in-service training to all staff on de-escalating situations involving residents who are arguing or fighting. A1 also mentioned that R1 had been hospitalized several times due to R1's medical condition.

On the same day, the department interviewed five staff members (S1-S5), all of whom denied the allegation, stating that no staff member at the facility would ever put their hands on any residents. They emphasized that they are trained in de-escalation techniques and maintain a high level of patience when dealing with residents.

Additionally, the department interviewed 10 residents (R2-R11), all of whom reported that no staff member had ever mishandled them. The department also spoke with a witness (W) who denied witnessing any staff mishandling R1 during visits to the facility.

Furthermore, the department reviewed the Unusual Incident Report dated January 13, 2026, which the facility submitted. This report indicated that R1 was involved in an argument with another resident that day. The department was not able to examine the facility note for that day because there were no records.

Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove that the alleged violation(s) did or did not occur; therefore, the allegation is unsubstantiated.

The complaint claimed that resident R1 requested water but that the staff never provided it. On July 16, 2026, the department interviewed the Administrator (A1), who denied the allegation. A1 stated that the facility has a water cooler on each floor, stocked with ice water and disposable cups for residents. Additionally, A1 mentioned that the caregiver refills the water cooler every two hours to ensure residents have plenty of water to drink.

On the same day, the department also interviewed five staff members (S1-S5), all of whom denied the allegation. They confirmed that the facility has ice water coolers providing water to residents. Furthermore, they stated that the caregiver goes around each floor every two hours to deliver ice water and juice to all residents.

On July 16, 2026, during the facility tour, the department noted that each floor was equipped with an ice cooler filled with ice water and provided disposable cups for residents. The department also reviewed the facility records regarding the schedule for filling the water coolers, including the specific dates and initial fill dates and times. The department also interviewed a witness (W) who denied the allegation and stated that the facility does provide R1 with plenty of water. There is ice water on each floor of the facility. (W) also stated that R1 never complained to (W) about not having had any water to drink.

Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove that the alleged violation(s) did or did not occur; therefore, the allegation is unsubstantiated.

No deficiencies were cited.

An exit interview was conducted. A copy of this report was provided to Administrator Jennifer Rivas.