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13 | On 08/26/2026, Licensing Program Analyst (LPA) Albert Johnson arrived unannounced at this facility to conduct a complaint visit. LPA met with Staff Members and explained the purpose of the visit.
Based on interviews, records reviewed, and the absence of any corroborating evidence, the allegation that another resident entered R1’s room and got on top of him is unfounded. The investigation did not reveal any information indicating that the incident occurred. The allegation was investigated through interviews, review of facility documentation, and review of resident records. The report says that Mr. Oliveira may have experienced psychosis, and his wife confirmed concerns about the accuracy of his statements. R1 was unable to provide identifying details, a specific date, or consistent information. Facility records from Summer 2025 show no documentation of any resident entering R1’s room or engaging in inappropriate physical contact. Staff interviews revealed no witnesses, no reports, and no behavioral concerns involving the female resident allegedly involved.
There is no evidence supporting that the incident occurred as described. The allegation relies solely on R1’s report, which is inconsistent and uncorroborated. No physical evidence, witness statements, or facility documentation support the claim. Therefore, the allegation is deemed UNFOUNDED. Note that a finding that is unfounded means that the allegation is false, could not have happened, and/or is without a reasonable basis.
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