complaint·July 15, 2025

information regarding the allegation. Interview with the Administrator revealed that R1 arrived at the facility from Las Vegas after they were released from the hospital there. R1 was a resident in the facility between 03/15/2024 and 05/02/2024. At the time of admission, R1 had a condition in their eyes and sores down their legs. Furthermore, the Administrator had knowledge of R1’s pressure injuries. R1 had no medical insurance, so the Administrator paid for R1's initial doctor’s visit. A review of medical records from the hospital in Las Vegas where resident was retained between 02/07/24 to 03/12/24 did not reveal any information to conclude that R1 had pressure injuries prior to admission. A review of medical records from Mission Hills Hospital conducted by SI and LPM revealed that at the time of admission to the Mission Hills Hospital, on 05/02/24, R1 had at least one (01) stage 3 pressure injury on their limbo-sacral area and one (01) Unstageable pressure injury on their Sacro-coccyx area. Based on interviews and record review, there is sufficient information and evidence to verify the validity of the complaint. Hence the allegation is SUBSTANTIATED at this time. Under Title 22, Division 6 Chapter 8 the following citation will be issued and documented on the LIC9099-D. Exit interview conducted. Appeal rights discussed. Copy of report provided.