complaint·October 19, 2023

The investigation revealed the following: Allegation : Staff did not adequately supervise resident resulting in resident falling. During this investigation, LPA obtained relevant documentation and interviewed staff and residents. Interviewed staff members denied the allegation. Interviewed staff indicated , there is always enough staff at the facility and they provide supervision to all residents in care. R1 does not have a one-on-one caregiver. Based on interviews conducted the findings indicate that resident (R1) sustained a fall on October 05, 2023. The resident was noted by S5 sitting on the floor in the living room. Per S5 a few minutes prior R1 was engaging in activity. S5 immediately notified the LVN. A body check was perform and noted abrasion to the back of the R1's head. Staff help R1 to stand and sit on the coach. LVN clean the abrasion with the saline water and put antibiotic ointment. R1 didn't show any sign of discomfort or pain. R1 was able to walk and ask for the tea and Icecream. Primary doctor and responsible party were notified. Neurological checks conducted. After incident, staff closely monitor the R1 for 2 days and R1 didn't complain of any pains. Residents interviewed were unable to corroborate the allegation. Interviewed residents indicated staff conduct rounds often throughout the entire day. 5 out of 6 residents stated that staff provide adequate supervision. LPA interviewed R1 who just answer "Yes" to all questions .R1 was unable to provide details and/or dates of alleged falls. Interviewed F1 who was visiting R5's at the time of visit stated that there is always enough staff to supervise the residents. At the time of visit LPA observed sufficient staff at the facility. LPA also observed that students from the Nursing School are assisting the residents. Facility staff schedule was reviewed, and it confirm that facility has a sufficient staffing at all the time. There is insufficient evidence to prove the alleged allegation. Documentation reviewed and interviews conducted with staff and residents do not corroborate this allegation . Cont. 9099C Allegation: Resident is dehydrated. It was alleged that R1 is very dehydrated. Staff interviewed denied the allegation and stated they have not received any complaints nor concerns in regards the allegation. Staff also stated that sometimes residents refused to eat lunch or dinner, but was reminded to drink fluids. Juice and water are provided during all day. Residents often received water supplies from family as well. R1 is one of them. The facility has six (6) water stations that all residents can access throughout the day. Residents can request fluids at any time of the day, and staff take the fluids to the resident room when requested. Residents interviewed did not corroborate the allegation. Residents indicated staff ensure residents have adequate drinking water. All Interviewed residents stated the facility provided drinks/fluids. They stated never dehydrated. During the visit, LPA observed residents getting water from water stations with plenty of water. LPA observed staff encouraging residents to drink the water. Based on file reviews, observation and interviews, 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 An exit interview was conducted, and a copy of this report was provided to Rangel-Gutierrez Selene Director of Health Care Services.