complaint·February 10, 2025

continued from LIC9099. Facility staff are not providing resident with appropriate supervision, resulting in falls. For the allegation, LPA reviewed Resident’s (R1, R2, R3, R4 and R5) resident records including but not limited to UIRs, Physician’s Report (LIC602), Centrally Stored Medication Reports, Care Notes, the schedule for The Neighborhood/Memory Care from 09/2024 - 10/2024, and R1’s consent for SafelyYou fall reduction. LPA confirmed R1 was diagnosed with Osteoporosis disease, had experienced fractures, had a common condition of mobility impairment that included use of walker if needed, and Dementia. Interviews with ED, Witness #4 (W4),and Staff (S2, S5, S6) revealed that not all R1’s fall were witnessed; however, falls that were unwitnessed and witnessed were documented on a UIR, 911 was activated and SafelyYou immediately reported falls to the concierge and nurse on duty. The facility appeared to be sufficient in staff when LPA reviewed the schedule for 09/2024 0 10/2024. LPA reviewed and confirmed the facility’s latest in-service and training plan of correction for all staff dated 10/08/2024 and 12/20/2024. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did occur, therefore the allegation is UNSUBSTANTIATED . No deficiencies are being cited during this visit, exit interview conducted, and a copy of this report provided to Raquel Lozano, Business Office Manager