Incident investigation·April 7, 2023

On 4/7/2023 at 2:30PM, Licensing Program Analyst (LPA) G. Luk arrived unannounced to conduct Case Management Inspection in regards to the two SOC341 that was received. LPA met with Business Office Manager, Jacqueline Scott. SOC341 dated 2/9/2023 states that R1 and R2 was sitting next to each other on the couch. R1 and R2 had an altercation and R2 was back handed by R1. Staff immediately separated the two residents. Both residents' responsible party and doctors were notified. SOC341 dated 3/30/2023 states that R3 was sitting on a wheelchair in the dining area with legs extended. R1 grabbed R3's legs and attempted to pull R3 to the floor. Staff was nearby to catch R3 and assisted R3 to the floor. Both residents' responsible party and doctors were notified. During visit, LPA interviewed staff and reviewed R1's files. For incident on 2/9/2023, R1's family was informed and facility required 1:1 companion for the next 72 hours during the daytime. R1's doctor adjusted medication for R1. For incident on 3/29/2023, R1's family was informed and facility required 1:1 companion for the next 72 hours during the daytime. R1's medications was increased. No deficiencies are being cited on this date. Exit interview conducted. A copy of this report provided.