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32 | (Cont. from LIC 9099)
Regarding the allegation, interviews with staff and residents did not report that a resident on resident altercation with injury occurred. Interviews consistently stated that R1 exhibited increased verbal and physical aggression on January 9, 2026, but behaviors were addressed through redirection. The resident is routinely supervised due to wandering tendencies, with frequent safety checks and staff observation during meals and activities. On January 10, 2026, staff reported that R1 exhibited aggressive behaviors toward other residents for the first time, prompting staff to initiate a 5150 hold due to danger to self and others. Staff reported that none of these altercations caused injury. Residents interviewed reported that they did not witness any altercations.
A review of facility records revealed R1's progress notes, which showed no documentation of physical aggression in prior entries except for the dates of the alleged incidents. Records review of the incident report, the resident’s care plan, and the physician’s report were consistent with interviews. The care plan specifies that the resident will be reoriented and redirected when wandering and that frequent checks will be conducted to ensure safety.
LPA observed residents throughout the facility, including those identified as potential victims of the allegation. All residents were observed with no visible physical injuries. The environment was clean, organized, and free of hazards.
Based on interviews, records review, and LPA observation, a preponderance of evidence does not exist to prove that the alleged violation occurred, therefore the allegation is UNSUBSTANTIATED. An exit interview was conducted with Residential Services Director Marquetta Corbett to whom a copy of this report and the Licensee/Appeal Rights (LIC9058 03/22) were provided and their signature on this report confirms receipt of the Licensee Rights. |