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32 | Allegation: Staff hit resident.
It is alleged Staff #1 (S1) hit Resident #1 (R1) while providing incontinence care. Record review of Incident Report (04/27/26) revealed Resident #1 (R1) reported that while Staff #2 (S2) and Staff #1 (S1) were repositioning her, S1 aggressively pushed R1 onto left side, resulting in pain to the left fifth finger and upper left arm. Interview with R1 indicated S1 hit R1 on the elbow and yanked R1’s finger around. R1 also indicated S1 did not use a sheet to reposition R1 but poked R1 with S1’s fingers. Seven out of seven resident interviews (R2 – R8) indicated staff have not hit them. One private caregiver (W1) indicated staff has not hit resident in care. Interview with S1 indicated R1 accused S1 of hitting R1 as S1 was repositioning R1. S1 indicated S1 did not hit R1. S2 indicated S1 did not hit R1 on the elbow nor yank R1’s finger around. S2 indicated that prior to repositioning, they placed R1’s arm on top of R1. At that moment, R1 accused them of hitting R1. S3 – S4 did not witness the incident but saw two scratches on S1’s arm. Seven out of seven staff interviews (S5, S7 – S12) indicated they have not witnessed staff hit residents.
Regarding the allegation, “Staff hit resident,” based on interviews and record reviews, the Department found no evidence to support the allegation mentioned above. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation is unsubstantiated.
Allegation: Staff handled resident in a rough manner.
Record review of Incident Report (04/27/26) revealed Resident #1 (R1) reported that while Staff #2 (S2) and Staff #1 (S1) were repositioning R1, S1 aggressively pushed R1 onto left side, resulting in pain to the left fifth finger and upper left arm. The Executive Director conducted an internal investigation with the involved staff and found that their actions did not appear to be overly aggressive. Review of Medical Assessment (12/05/25) revealed R1 has chronic pain syndrome, has motor impairment/paralysis (left sided hemiplesia) and needs assistance with bathing, grooming, and toileting. Review of Service Plan (11/24/25) revealed R1 needs full two-person assistance with toileting in the morning, afternoon, and evening. Notes reveal R1 resists care at times. Please report this as needed. Interview with R1 indicated R1 and S1 had a tug-a-war with the blanket and finally S1 snatched the blanket off R1. R1 also indicated S1 did not use a sheet to reposition R1 but poked R1 with S1’s fingers. R1 indicated S1 and Staff #2 (S2) pulled R1 like a “wish-bone”. Seven out of seven resident interviews (R2 – R8) indicated staff are not rough with them.
Continue to LIC9099-C. |