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32 | Allegation: Facility staff handled client in a rough manner
The allegation alleges a resident was beaten up and had their fingers twisted during a fight with four (4) perpetrators in their room.
During the facility inspection, LPA observed staff assisting residents with transferring and escorting. LPA observed staff placing hands in appropriate places to minimize any injuries.
During record review, LPA received and reviewed Resident R1’s Charting Notes dated 02/09/2026, that states a body check was conducted on R1 for a skin assessment and no bruising or lacerations were noted on the body. On 02/10/2026, R1’s physician and psychiatrist were notified. A review of recent behavioral expressions and of medications was conducted, and an adjustment of medications was ordered. LPA received and reviewed Staff S1, S4-S10‘s Relias Transcript that indicates Staff have received training regarding the following Alzheimer’s Disease and Related Disorders: Psychosocial Needs, Care For Residents with Varying Dementias, Recognizing a Change in Condition, Transferring Safety, Mandated Reporting-Elder and Dependent Abuse and Neglect in CA, Preventing, and Recognizing, and Reporting Abuse.
During interviews with Staff S1-S10, were asked if they have handled a resident in a rough manner, ten (10) out of ten (10) stated they have not handled a resident in a rough manner. Additionally, Staff S1-S10, were asked if they have observed staff handling a resident in a rough manner, ten (10) out of ten (10) stated they have not observed staff handling residents in a rough manner.
During interviews with Residents R1-R5, were asked if they have been handled in a rough manner by staff, five (5) out of five (5) stated they have not been handled in a rough manner. Additionally, Residents R1-R5 were asked if they have observed staff handle a resident in a rough manner, five (5) out of five (5) stated they have not observed staff handle a resident in a rough manner.
During interviews with resident’s Responsible Party W2-W5, were asked if they have observed staff handle a resident in a rough manner, four (4) out of four (4) stated they have not observed staff handle a resident in a rough manner.
During the course of the investigation, LPA was unable to find evidence to support the allegation(s). Although the allegation(s) may have happened or is valid, there is no preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation(s) is/are unsubstantiated.
During today’ visit LPA did not observe or cite any deficiencies.
An exit interview was conducted with Administrator Christina Hale, and a copy of this report was provided.
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