complaint·November 4, 2024

Allegation: Staff caused injury to resident On 11/4/2024 the department conducted a review of facility files. During file review, the department reviewed medical records from Kindred Hospital Paramount specifically the Patient Care Summary which shows that C-1 was hospitalized from 1/9/24 to 1/19/24. Further review of hospital records shows that C1 was noncompliant, removing monitors, leads and IV’s. During file review, the department observed facility body check documented on 1/19/24 which documents the bruises found on C-1 when client returned from the hospital. The department reviewed the facilities internal communication logs dated 1/19/24, which stated that C-1 came back from hospital at 3:30pm with bruises on both arms, both legs and across his chest. The department requested body checks prior to hospital admission date of 1/9/2024. On 11/4/2024 the department interviewed Administrator Sandra Lopez, who state that a body check is only performed upon observation of bruises, or an incident having occurred. On 11/4/2024 the department interviewed staff-1 thru staff-5 (S-1 thru S-5). LPA asked if staff caused injuries to residents? Of those interviewed, 5 out of 5 answered no. LPA interviewed Client-2 thru Client-10 (C-2 thru C-10). C-1 was not available to be interviewed. LPA asked clients if they have ever been injured by staff. Of those interviewed, 9 out of 10 answered no. Based on the information collected, an inspection of the facility, observation, record reviews, and interviews conducted, the Department found no evidence to support the allegations in this complaint. “Staff caused injury to resident,” therefore the allegation is unsubstantiated. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations, did or did not occur, therefore the allegations are Unsubstantiated. Allegation: Staff restrained resident On 11/4/2024 the department conducted a review of facility files. During file review, the department reviewed medical records from Kindred Hospital Paramount specifically the Patient Care Summary which shows that C-1 was hospitalized from 1/9/24 to 1/19/24. Further review of hospital records shows that C1 was noncompliant, removing monitors, leads and IV’s and in the section titled, “Activity intolerance,” on pages 4 and 8, hospital records show C-1 was restrained with B wrist restraints. During file review, the department observed facility body check documented on 1/19/24 which documents the bruises found on C-1 when client returned from the hospital. The department reviewed the facilities internal communication logs dated 1/19/24, which stated that C-1 came back from hospital at 3:30pm with bruises on both arms, both legs and across his chest. The department requested body checks prior to hospital admission date of 1/9/2024. On 11/4/2024 the department interviewed Administrator Sandra Lopez, who state that a body check is only performed upon observation of bruises, or an incident having occurred. LPA Shirley interviewed staff-1 thru staff-5 (S-1 thru S-5). LPA asked, does staff restrain clients? Of those interviewed, 5 out of 5 answered no. LPA interviewed Client-2 thru Client-10 (C-2 thru C-10). C-1 was not available. LPA asked, have you ever been restrained by staff?” Of those interviewed, 9 out of 10 answered no. Based on the information collected, an inspection of the facility, observation, record reviews, and interviews conducted, the Department found no evidence to support the allegations in this complaint. “Staff restrained resident,” therefore the allegation is unsubstantiated. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations, did or did not occur, therefore the allegations are Unsubstantiated. An exit interview was conducted, and a copy of the LIC 9099 report was provided to Sandra Lopez, Administrator.