complaint·November 18, 2022

S1 then checked R1 to identify the source of the bleeding, and observed that R1 suffered a laceration between their ring finger and pinky finger on the right hand. Staff then requested assistance from Staff #2 (S2), whom then assisted S1 with providing first aid to R1’s cut. Staff called R1’s home health agency and informed them of R1's injury. Home health arrived shortly after, and claimed that R1's cut required stitches, which the home health representative was unable to provide such medical treatment. As such, 9-1-1 was called and R1 was sent to the hospital on 11/10/2022 at approximately 6:20 p.m. R1 returned to facility on 11/11/2022 early in the morning, with stitches to the right hand. During today’s visit, S1 took the LPA into the bathroom where the incident took place. S1 denied claims that R1 was in reach of any sharp objects during the diaper change other than the diaper itself. Staff confirmed that after R1 sustained the cut, staff called R1’s responsible party and the Licensee to inform them of the incident. The LPA spoke with R1’s responsible party, whom confirmed that they were notified after R1 sustained the cut and corroborated claims that they were informed that it happened while R1 was being changed. R1’s responsible party noted that as R1 takes a blood thinner, R1 was at risk for excessive bleeding. R1’s responsible party also reported that R1 had a history of agitation while receiving assistance with diaper changes. The LPA reviewed R1's Physician's Report dated 9/14/2022, where it was indicated that R1 exhibited aggressive behavior. Licensee Ross Hashemi called the LPA on 11/16/2022 to ensure that the LPA received the Unusual Incident Report that was sent from the facility. Records review confirmed that the facility sent in an Incident Report regarding this incident on 11/11/2022. Based on the information obtained in interviews and record review, there is insufficient evidence to support the claim that R1 suffered an unexplained injury. This allegation is deemed Unsubstantiated at this time. No deficiencies cited at this time. Exit interview conducted. A copy of the report was issued.