complaint·December 10, 2024

Regarding Allegation #1: Unknown adult grabbed resident roughly causing injury. It is being alleged that R2 grabbed R1 shoulder and dislocated R1 right shoulder. CCLD staff toured the facility and noted R1 did not appear to have a dislocated right shoulder. R1 was moving both arms with no issues. CCLD staff reviewed pre-placement appraisal (date 09/23/2024), physician report (date 09/25/2024), needs and service plan (date 10/01/2024), incident report (date 12/02/2024) for R1. R1 has health issues and claims chronic shoulder pain. CCLD staff reviewed incident report for 12/02/2024, there is no claim of any injury to either resident. CCLD staff and S1 spoke to R1. S1 offered to take R1 to the hospital for the supposed dislocated shoulder, R1 refused. 4 out of 4 staff indicate that R1 and R2 yelled at each other and R2 never grabbed R1 shoulder. R1 indicates that R2 grabbed R1 right shoulder and dislocated R1 right shoulder. 7 out of 8 residents indicate that R2 never grabbed R1 shoulder. Regarding Allegation #2: Staff did not get timely medical care for resident. It is being alleged that staff did not get timely medical care for R1. CCLD staff toured the facility and noted R1 did not appear to have a dislocated right shoulder. R1 was moving both arms with no issues. CCLD staff reviewed pre-placement appraisal (date 09/23/2024), physician report (date 09/25/2024), needs and service plan (date 10/01/2024), incident report (date 12/02/2024) for R1. R1 has health issues and claims chronic shoulder pain. CCLD staff reviewed incident report for 12/02/2024, there is no claim of any injury to either resident. CCLD staff and S1 spoke to R1. S1 offered to take R1 to the hospital for the supposed dislocated shoulder, R1 refused. 4 out of 4 staff indicate that R1 never advised staff that R1 had a dislocated right shoulder on 12/02/2024 incident. S1 and S2 came to the incident scene and spoke to R1 and R2. Staff indicate that R1 or R2 claim any injury from the 12/02/2024 incident and if R1 had claimed R1 was injured staff would have called 911. R1 indicates that R2 grabbed R1 right shoulder and dislocated R1 right shoulder. R1 indicates that staff refused to take R1 to the hospital. 7 out of 8 residents indicate that R1 never advised them of any injury. Based on interviews, observations, and supporting documentation, the preponderance of evidence standard has not been met; therefore, the allegations of “Unknown adult grabbed resident roughly causing injury”, “staff did not get timely medical care for resident” is found to be UNSUBSTANTIATED. No deficiencies cited during today's visit. An exit interview was conducted, and a copy of the Complaint Report was provided to the Administrator Camarin Johnson S1.