complaint·January 26, 2023

It is alleged that R1 sustained physical abuse while in care. Investigation revealed that on 03/04/22, R1 arrived at the facility via ambulance from R1’s former care. R1’s son was also present during R1’s admission. An interview conducted with facility Administrator on 5/17/2022, revealed that R1 did not have a fall or incident on the day of their arrival. An interview with R1’s son on 3/22/2022, revealed that he was there when R1 was transported to the facility via gurney. R1’s son stated he did not observe R1 to be in any pain, nor did R1 report any pain. R1’s son stated he does not believe R1 sustained any physical abuse at the facility but was injured during transport from R1’s former care to the facility. An interview with medical personnel, revealed that they could not assess where R1’s bruising came from, but that it “could be considered consistent with being held or moved” in a “bear hug”. Interviews conducted with two (2) residents on 5/17/2022, revealed that both residents feel same and comfortable living at this facility. Both deny seeing or experiencing any abuse or neglect. Record review revealed that staff documented various observations dated from 3/4/2022 – 3/8/2022 regarding R1. On 3/4/2022, staff documented R1’s arrival via gurney and noted, “There is redness on the right upper quadrant/ and under the breast.” On 3/05/2022, staff noted that R1 had bruising in the abdomen, at the same place where the redness was observed on 3/4/2022. On 3/7/2022, staff noted that the abdominal bruising was extended to R1’s breast/chest area. R1’s son was notified and R1’s physician was called, to which R1’s physician instructed staff to send R1 to the Emergency Department. Staff called 911, and R1 was transported to AV Hospital. On 3/8/2022, staff documented R1’s discharge from AV Hospital, and staff annotated “no significant findings”. Record review also revealed that there was a LASD police report, to which showed that Deputies arrived at AV Hospital on 3/8/2022. Police report reflects that a Deputy spoke to R1, to which R1 stated that they believed that being picked up and moved caused their injuries. Deputies were unable to determine if a crime occurred. Due to a lack of supporting evidence and interviews, the allegation that resident sustained physical abuse is unsubstantiated at this time. No deficiencies issued. Exit interview conducted. Report signed and delivered. Appeal rights delivered.