complaint·August 18, 2021

The investigation revealed the following: Allegation 1: Staff did not provide timely medical assistance. It is alleged on Staff did not provide timely medical assistance. On 06/21/2021 LPA Calderon interviewed W1 for complaint who states that staff did not provide medical assistance to R1 when R1 fell out of R1 bed. On 06/21/2021 LPA Calderon received and reviewed needs and service plan and physician report for R1 the facility records stated no errors were made with R1 medical care and R1 did not sustain any injuries, but R1 did get a black eye when R1 head contacted the floor. On 06/22/2021 LPA Calderon interviewed S1-S7 for complaint all state R1 had fallen, but once they found out they took care of R1 medical needs. On 07/01/2021 LPA Calderon interviewed R2-R10 for complaint all state that medical services are fine, can be improved but their medical needs are taken care of. Residents state that they have no concerns with staff services and like living in the facility. LPA Calderon went to R1 room, R1 was sleeping and could not give a statement. Allegation 2: Staff did not check on the resident for several hours during the day. It is alleged on Staff did not check on the resident for several hours during the day. On 06/21/2021 LPA Calderon interviewed witness for complaint who states that staff did not provide medical assistance to R1 when R1 fell out of her bed and that it took some time for staff to become aware of R1 fall out of R1 bed. On 06/21/2021 LPA Calderon received and reviewed needs and service plan and physician report for R1 the facility records state that R1 medical needs are being taken care of by staff and that the facility does check in on resident at least 2 times per day and this is how they found out that R1 had fallen out of bed. On 06/22/2021 LPA Calderon interviewed S1-S7 for complaint all stated R1 had fallen, but once they found out they took care of R1 medical needs and responded to the fall in a timely manner. On 07/01/2021 LPA Calderon interviewed R2-R10 for complaint all state that medical services are fine, and they deny any issues but, can be improved but their medical needs are taken care of. LPA Calderon went to R1 room, R1 was sleeping and could not give a statement. Allegation 3: Staff did not contact resident representative in a timely manner. It is alleged on Staff did not contact resident representative in a timely manner. On 06/21/2021 LPA Calderon interviewed W1 for complaint who states that staff did not provide medical assistance to R1 when R1 fell out of R1 bed and W1 was made aware of the injury to R1 when the hospital called W1. Witness states that no one from the facility called W1 regarding the injury to R1 head. On 06/21/2021 LPA Calderon received and reviewed needs and services plan and physician report for R1 the facility records state that staff did contact resident family regarding the resident falling out of bed, state no major injuries, but R1 did get a black eye when R1 head contacted the floor. On 06/22/2021 LPA Calderon interviewed S1-S7 for complaint all state R1 had an fall, and they contacted the POA who is the W2 of W1 but had no obligation to advised witness that R1 had fallen. On 07/01/2021 LPA Calderon interviewed R2-R10 for complaint all state that medical services are fine, can be improved and staff does contact their families and make them aware of their medical status. Allegation 4: Resident assaulted another resident It is alleged Resident assaulted another resident. On 06/21/2021 LPA Calderon interviewed witness for complaint who states that R2 had assaulted R1, but R1 did not call the police or report the assault to staff. On 06/21/2021 LPA Calderon received and reviewed all SIR reports associated to R1 and R2 and there is no report made regarding any assault. On 06/22/2021 LPA Calderon interviewed S1-S7 for complaint all state they had no knowledge of any assault and had never spoke to R1 regarding the complaint. On 07/01/2021 LPA Calderon interviewed R2-R10 for complaint all state they had no knowledge of any issue for R1 and had not seen the police at the building on the date of complaint. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation is unsubstantiated. A telephonic exit interview was conducted with S1, and a hard copy was provided for records.