Category 4 Neglect found. Neglect of Service Recipient substantiated. However perpetrator of neglect could not be identified.

Category 3 Neglect not found. Subject did not breach supervision duty. Used best judgment as allowed by job description.

Category 4 neglect found for failing to provide sanitary housing conditions. Perpetrator could not be identified.

Category 3 neglect found when Subject directed inappropriate comments to Service Recipient which triggered Service Recipient to curse and be upset.

Category 1 sex abuse & Category 2 neglect substantiated for psychiatrist/patient relationship, forcible touching and failure to maintain appropriate boundaries.

Category 2 neglect found. Subject breached duty by failing to use Hoyer lift and failing to document cracking noise while toileting Service Recipient.

Category 3 neglect not found. Subject’s and supervisor's testimony that no inappropriate physical contact between Service Recipients occurred was found to be credible.

Category 2 neglect found. Subject breached duty by failing to properly supervise subordinate substance abuse counselor resulting ultimately in Service Recipient overdosing.

Category 3 neglect found when Subject moved Service Recipient, who was easily redirected with verbal prompts, to his bedroom and did not feed him dinner.

Category 3 neglect found. Subject directed derogatory comment toward Service Recipient.