Complaint·July 23, 2021

(continued from LIC 9099) In addition, Investigator interviewed R1’s responsible party on 02/11//2020, Reporting Party (RP) on 02/12/2020 and R1 on 02/13/2020. On 01/29/20, LPA Cava obtained copies of the facility records and on 01/30/2020, Investigator Zertuche obtained hospital medical records. 1. Regarding the allegation that staff caused multiple fracture to residents, it was alleged that the staff cause the fractures on R1's hands and feet. LPA’s interview with the staff revealed that on 01/24/2020 R1 had an unwitnessed fall in their bedroom. Staff heard R1’s scream and immediately went to assist. R1 denied any pain at that time. The next day, on 01/25/2020, Home Health nurse visited and recommended R1 be brought to the hospital due to complaint of pain. LPA’s record review on 01/29/2020 verified the information revealed from the staff interview. Records also indicated that R1’s scream was overheard by another resident who saw the staff entering the room, while R1 was on the floor. Investigator Zertuche’s and LPA Cava’s interview with staff and residents on different dates and different occasion, consistently revealed that no one witnessed nor had any knowledge of any staff hurt or attempted to hurt R1 or any other resident in any way. Investigator Zertuche’s interview with the R1’s responsible party revealed that R1 had a history of falsely accusing the facility staff. 2. Regarding the allegation that staff interacted with resident in an inappropriate manner, it was reported that staff handles R1 inappropriately. (continued on LIC 9099-C) (continued from LIC 9099-C) LPA Cava’s interview with three (3) residents at the facility on 01/29/20 revealed that no staff had been inappropriate with them nor they witnessed any staff being inappropriate with any other resident. IB Investigator Zertuche’s interview with four (4) residents on 01/30/2020 also revealed that they had no complaints regarding the staff and that they treat them well. Based on information gathered during the course of the investigation, the allegations are deemed unsubstantiated at this time Exit interview conducted and copy of this report issued.