Complaint·March 8, 2022

Regarding the allegation: Unexplained bruising observed on residents It was alleged that residents in the memory care unit were obtaining bruising from an unknown source, presumably due to neglect or abuse. A review of internal facility documents revealed that Resident #1 (R1) was observed with unexplained bruising on 01/27/2021, 03/08/2021, and 03/14/2021. In addition, Resident #3 (R3) had unexplained bruising and/or a skin tear on 1/06/2021, 2/15/2021, and 03/08/2021. However, at the time these occurred, these incidents were documented and reported to management per protocol. Information obtained from staff interviews revealed that most of the residents in the memory care unit had skin integrity issues and as a result, could sustain a bruise from accidentally hitting something, or as a side effect of a medication such as a blood thinner. Interviews revealed that some residents would easily bruise, and that it was not due to neglect or abuse. Staff claimed that even while being careful in providing care to a resident, they may develop a bruise or discoloration days later. Staff reiterated that if a bruise or skin tear was observed, staff would document the wound and alert management. At this time, staff stated that they are completing a skin assessment form to document any new bruises or skin tears observed. Resident interviews revealed that residents believed they were treated with respect and denied claims that staff were either physically or verbally abusive. Staff claimed that in general, staff were observed treating residents appropriately and denied observing any abuse or neglect. Based on the information obtained, there is insufficient evidence to support the claim that due to neglect or lack of care, residents sustained unexplained bruising. This allegation is deemed Unsubstantiated at this time. No deficiencies cited at this time. Exit interview conducted. A copy of the report was issued.