complaint·May 15, 2025

and modifying care practices. An overnight care companion, and frequent routine wellness checks were conducted during the day to monitor R1. Therefore, based on interviews and documentation reviewed, there is insufficient evidence to support the allegation. The allegation is determined to be Unsubstantiated at this time. Allegation # 2: It was alleged resident sustained injuries while in care. To investigate the allegation, on June 24, 2024, and during today’s visit, (LPA) conducted interviews and reviewed relevant documentation pertaining to the allegation. Based on the information obtained, Resident #1 (R1) was assessed upon admission and was noted to have pre-existing bruising and wounds. R1 was also identified as a fall risk. According to interviews, R1’s family reported that R1 had a history of falls while living at home prior to admission. After being admitted to the facility, R1 continued to experience multiple falls, resulting in bruising and injuries. Facility staff provided first aid, notified R1’s family and primary care physician, and ensured R1 received medical attention from healthcare professionals. Documentation confirmed that staff recorded the incidents in internal charting notes and submitted Special Incident Reports (SIRs) to Community Care Licensing (CCL). Although it was reported that R1 sustained injuries while in care, the facility responded appropriately by providing timely treatment, notifying responsible parties, and seeking necessary medical evaluation. Therefore, based on the interviews and documentation reviewed, there is insufficient evidence to prove the allegation, and it is Unsubstantiated at this time.