complaint·May 16, 2024

Licensing Program Analyst (LPA) Tuesday Cabiness conducted a subsequent visit to to deliver the final finding of the allegation mentioned above. LPA met with Adriana Ciscernos and Administrator Itzel Guevarra and informed the reason of the visit. It was alleged resident sustained fracture while in care. On 02/09/2023, former LPA Shira Stamps, conducted the initial visit, and interviewed staff and residents. During today’s visit, from 930am to 12pm, LPA conducted additional interviews and obtained resident records. From all the information obtained, it was revealed, resident # 1 (R1) complained to the in-house physician about pain in the shoulder. R1 did not inform staff that R1 was in any pain or injured. R1 was sent to the hospital by the orders of the doctor. It was later reported to the Administrator that R1 needed a higher level of care and would not be returning to the facility and would be admitted to a skilled nursing facility (SNF). It was also revealed to LPA, that staff visited R1 while in the SNF, and R1 never mentioned falling at the facility, and interviews revealed no-one witnessed R1 falling. Therefore, based on interviews, the allegation is Unsubstantiated at this time. Exit interview and copy of report provided.