complaint·June 25, 2025

LPA conducted a records review. The investigation revealed the following: Allegation: Resident sustained unexplained injuries while in care. It Is being alleged that resident in care has bruising on both arms. On 06/04/24 from 10:15am- 11:23am LPA conducted interviews with R2-R7 regarding the allegation above, 6 of 6 residents interviewed denied the allegation above and reported feeling safe when being assisted by staff. On 06/04/25 and 06/13/25 LPA conducted interviews with S1-S5 regarding the allegation above, 5 of 5 staff interviewed denied the allegation above. Per 5 of 5 staff interviewed, body checks are conducted daily and any bruising or change in condition is communicated to both Primary Care Physicians and families. On 06/03/25 LPA conducted interview with responsible party for R1, per responsible party there are no current safety concerns as responsible party has been in communication with both the facility and Primary Care Physician about the bruising. Responsible party also reported being aware that R1 has scratched and cause harm to self. On 06/23/25 LPA conducted a review of R1’s file, resident notes dated 05/25/25, 05/26/25, 05/22/25, and 05/18/25 indicated that R1 has been fixated on arms, rubbing arms with friction and picking arms causing bruising. On 05/04/25 primary care physician faxed an order for re-evaluation and adjust medications due to physical aggression. On 06/25/25 LPA attempted to interview R1, R1 was sleeping at the time of visit. 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. Exit interview conducted, and a copy of this report was provided.