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32 | Regarding the allegation: Staff handled resident in a rough manner. It was alleged that a staff member (S2) assisted R1 in a rough manner. To investigate the allegation, LPA attempted interviews with seven (7) residents and four (4) staff members. LPA’s interview with six (6) residents confirmed that staff do not hurt them while assisting them with their Activities of Daily Living (ADLS) (Let it be noted ADLs consist of but not limited to: changing, showering, grooming and transferring needs). LPA attempted to interview R1, but they no longer reside at the facility. LPA’s interviews with three (3) staff members confirmed that they do not hurt residents while assisting them with their ADLs nor have witnessed others to do so. LPA attempted to interview S2, but they were not present during their visit. LPA’s record review of the facility’s Unusual Injury/Incident Reports (SIRs) dated 9/29/2025 revealed the facility self-reported an incident involving R1 and S2 to Community Care Licensing Division (CCLD) and other corresponding agencies. Further review of the documentation did not reveal there to be any serious or minor bodily injuries notated. During LPA’s physical plant tour, LPA observed staff members assisting residents. LPA did not observe residents to be in distressed or being treated inappropriately by staff.
Based on interviews, record review and observations, there is not enough information to verify the allegation. Therefore, the allegation is UNSUBSTANTIATED at this time.
No immediate health and safety issues observed during the day of the visit. Exit interview was conducted and a copy of this report was provided to the Administrator.
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