complaint·April 26, 2025

The investigation revealed the following: regarding the allegation(s)- Resident sustained a fracture due to staff neglect. It is alleged that R1 sustained a fracture due to staff neglect on 12/16/2024. Interviews conducted by Community Care Licensing-Investigations Branch did not corroborate this allegation. Review of R1’s resident records by Community Care Licensing-Investigations Branch did not corroborate this allegation. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED . Staff did not prevent physical altercation between residents. It is alleged that facility staff did not prevent physical altercation between R1 and R2 on 12/16/2024. Interviews conducted by Community Care Licensing-Investigations Branch did not corroborate this allegation. Review of R1’s resident records by Community Care Licensing-Investigations Branch did not corroborate this allegation. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED . Staff did not meet resident's incontinence needs. It is alleged that staff did not meet R1’s incontinence needs. Five (5) out of the five (5) staff interviewed by LPA Ramirez did not corroborate this allegation. LPA Ramirez attempted to interview R1 but, R1 was unavailable for an interview. LPA Ramirez attempted to contact R1’s responsible party but, R1’s responsible party was not available for an interview. Review of R1’s resident record by LPA Ramirez did not corroborate this allegation. During tour of facility, LPA Ramirez observed residents to be well groomed and not malodorous. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED . Staff did not provide resident with clean linen. It is alleged that facility staff did not provide R1 with clean linen. Five (5) out of the five (5) staff interviewed by LPA Ramirez did not corroborate this allegation. LPA Ramirez attempted to interview R1 but, R1 was unavailable for an interview. LPA Ramirez attempted to contact R1’s responsible party but, R1’s responsible party was not available for an interview. Review of R1’s resident record by LPA Ramirez did not corroborate this allegation. During tour of facility, LPA Ramirez observed resident rooms to be free from malodorous and observed sufficient supply of extra clean linen in laundry room. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED . No violations were cited for this complaint investigation. Exit interview was conducted. A copy of this report was provided via email.