complaint·August 7, 2024

The investigation revealed the following: Allegation #1- Resident sustained multiple unexplained injuries while in care. The details of the complaint alleged that the resident was observed with contusions all over the body including private area while at the facility. On 07/25/24, from 9:30am- 1:30pm, LPA reviewed facility files, interviewed staff (S1-S4), witness (W1) and residents (R1-R4) regarding the allegation. 4 of 4 staff denied the allegation that the Resident sustained multiple unexplained injuries while in care. Staff stated that R1 did not have any discoloration on R1’s body the night before (07/14/2024). The staff were alerted on the morning of 07/15/2024 that R1 had bruising on R1’s thigh, buttocks, legs, and pelvic area. S1-S4 stated that they did not know how the bruises were sustained. S2 stated that interviews of the residents and staff were conducted, and no one confirmed that they saw or heard anything out of the ordinary during this period. LPA reviewed Healthy Lifestyle Hospice Care Notes (Dated: 07/17/2024) that stated that R1 has unexplained scattered ecchymosis (bruising), bluish in color that look a few days old, and extend to R1’s private area. LPA also reviewed Healthy Lifestyle Hospice Care Notes (Dated: 07/20/2024) that stated that R1 had new ecchymosis (bruising) that were not present on last visit. Ecchymosis on vagina, left thigh, and anus were noted. R1 had 5”x 6” bruise which was blueish and purple in color, as described in the hospice notes. LPA reviewed R1’s medication and noted that the resident is taking Keppra (500mg), Atorvastatin (10mg), and Baclofen (20mg) which has side effects that causes itching, rashes, and swelling; according to webmd.com. LPA observed that the facility has cameras but S1 stated that the cameras were not working. LPA interviewed R1-R4 about the allegation and 3 of 4 residents that were interviewed denied the allegation that Resident sustained multiple unexplained injuries while in care. Residents that were interviewed stated that they have not experienced any unexplained bruising on their body and have not witnessed abuse or heard of any abuse of another resident while in care. Based on interviews and records reviewed, there is insufficient evidence to support the allegation that the Resident sustained multiple unexplained injuries 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 deficiencies were cited. An exit interview was conducted with Arnold Mendoza, Administrator, and a hard copy of this report was provided.