complaint·October 11, 2023

Staff did not prevent resident from being injured by another resident. Based on interviews conducted with staff and with residents on 8/9/23 and 9/12/23. On 7/19/23 an incident was reported that a resident was moving in their wheelchair and accidentally grazed R1 on the leg. R1 sustained a bruise, however, did not sustain any additional injuries. Although R1 was injured by a resident’s wheelchair, the incident was an accident and did not occur again therefore the allegation is UNFOUNDED. A finding of unfounded means that the allegation is false, could not have happened and/or is without a reasonable basis. Staff did not provide written incident report to resident's responsible party within 7 days Based on records reviewed and interviews it was determined that staff notified R1’s responsible party of an incident that occurred at the facility on 7/19/23, the same day the incident occurred. Upon review, it was also found that the facility notified the Department of the incident on 7/26/23 within 7 days per Title 22 requirements. Therefore, this allegation is UNFOUNDED. A finding of unfounded means that the allegation is false, could not have happened and/or is without a reasonable basis. Staff do not assist resident with incontinence needs Regarding the allegation that staff do not assist residents with incontinence care, LPA met with several residents, spoke with several staff, and reviewed documentation. LPA learned that residents are checked regularly, at least every couple of hours, and staff assist residents with continence and incontinence per needs and service plans. Staff are aware of those residents who may need more frequent or extra assistance and monitor them. At this time, residents are changed when needed based on their needs and service plan. Therefore, the allegation is UNFOUNDED. A finding of unfounded means that the allegation is false, could not have happened and/or is without a reasonable basis. Exit interview conducted. Copy of report left at facility.