complaint·August 26, 2022

Radiology Report dated 12/29/21 indicates "fracture involving the distal metaphysis of the radius with slight impaction and minimal displacement." There is no evidence however, indicating that this fracture happened while at the facility. R1 moved into the facility on 12/23/21 and Progress Notes on that day indicate that "swelling to the wrist" was observed on R1's wrist upon move in. Resident was admitted to Hospice on the same day of move-in, and both hospice and facility were aware of the bruising and continued to monitor the area. Family member interviewed also indicated R1 suffered a couple of falls a few days prior to moving into the facility. R1 also has a history of carpal tunnel syndrome. Therefore there was insufficient evidence to corroborate with the allegation. In regards to the allegation " staff did not seek medical attention for resident while in care", it is alleged that facility failed to seek timely medical attention for R1 in regards to the wrist fracture. Staff members interviewed denied the allegation. Staff members interviewed indicated wrist bruising was observed and documented upon resident moving in. Staff members interviewed indicated wrist area was monitored daily, and R1 was receiving treatment from hospice agency. This is confirmed via Progress Notes. X-Ray was also requested and completed when bruising did not improve. Family member interviewed also indicated facility staff kept him informed of R1's condition. Therefore there was insufficient evidence to corroborate with the allegation. In regards to the allegation " resident inappropriately touched another resident in care", it is alleged that another facility resident entered R1's room and tried to touch R1 "inappropriately". Interviews conducted with staff members denied the allegation. Facility staff indicated that on 12/28/21, Azusa Police arrived at the facility to interview R1 as they had received a call that R1 had been touched inappropriately. After interviewing R1, Police left without filing any charges. During today's visit, R1 denied being touched inappropriately by anyone at the facility. Interviews with staff revealed they will redirect residents if they attempt to go into other resident rooms. Additionally, Reporting Party indicated they were not sure if the other resident actually touched R1 inappropriately. Therefore there was insufficient evidence to corroborate with the allegation. Based on statements and interviews conducted with staff, residents, review of resident files and facility file records, there was not enough supportive evidence to concur with the reported allegations. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are UNSUBSTANTIATED. Exit interview held, and a copy of this report was provided.