complaint·January 19, 2024

Residents’ interviews revealed that staff provided appropriate care to residents. Per staff interviews, all four (4) staff, including the administrator, denied the allegation. File review revealed resident#1 (R1) got agitated in R1's room trying to get up. R1 fell on the floor as a result. As soon as the administrator aware of the incident, administrator checked on R1 and observed R1’s bruise on R1’s right eye. Administrator took immediate action to notify R1’s responsible party and R1’s physician. Administrator conducted an internal investigation on this incident. It was a single incident which resident fell and got bruise on the resident's eye. Ice pack immediately applied to the resident. Per R1’s physician visit, it stated R1’s bruise was all gone and no medical concern after the fall. An in-service training on resident’s fall risk was provided to staff. Per LPA's observation, R1 was doing fine and bruise was all gone. Therefore, the resident was injured due to staff neglect was not observed. Although the allegation may have happened or is valid, there’s not preponderance of evidence to prove the alleged violation did or did not occur, therefore, the allegation is UNSUBSTANTIATED . An exit interview was conducted with Alberto Galvan, administrator assistant . Findings were discussed. A copy this report was provided at the time of visit.