complaint·December 11, 2024

The investigation revealed the following: Allegation- Resident sustained an unexplained injury while in care. The details of the complaint alleged that the resident (R1) sustained an unexplained bruise on R1s right eye. On 08/12/24 the department interviewed staff (S1-S3). On 12/11/24, from 09:30am-2:00pm, the department interviewed staff (S4) and residents (R1-R4) regarding the allegation. 4 of 4 staff (S1- S4) denied knowing how the Resident sustained an unexplained injury while in care. All staff (S1-S4) stated that they did not see what happened to cause an injury to R1. S1 states that R1 may have fallen out of a rocking chair in R1s room and hit R1s face but are not sure. S1 also stated that they now have a baby camera in R1s room to monitor the resident, that was authorized by the family, which does not record though. All staff (S1-S4) stated that R1 wanders around a lot and is sundowning. They deny that anyone may have done this to R1 and that R1 may have fallen. They state that R1 has fallen in the past. The department reviewed the Incident Report (Dated: 07/31/2024) that was sent to Community Care Licensing informing the department of the unexplained bruise. The department also reviewed the Physician’s Report (Dated: 07/18/2024) that states that the resident has sundowning behavior and can become confused and disoriented. The department interviewed residents (R1-R4) about the allegation and 3 of 4 residents that were interviewed denied any knowledge of how the Resident sustained an unexplained injury while in care. The majority (3 of 4) residents interviewed stated that they had no knowledge of how the resident was injured and have not been injured or abused themselves by any staff or resident at the facility. Based on interviews and records reviewed, there is insufficient evidence to support the allegation that the Resident sustained an unexplained injury while in care. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur; therefore, the allegation is Unsubstantiated . No citations were issued for this complaint. An exit interview was conducted with Muriel Cabacungan, Assist Administrator, and a copy of this Complaint Investigation Report was provided.