complaint·May 30, 2023

remained Independent. On 12/15/2021, R1’s spouse had called the front desk of the Independent Living and stated they had woken up and R1 was observed on the floor. The Assisted Living staff responded, and R1 was found to be unresponsive. 911 was called and R1 was transferred out to UCI Hospital. The facility would later be notified that R1 had a brain hemorrhage and subsequently passed away on 12/17/2021 due to Acute Traumatic Intracranial Hemorrhage (bilateral subdural hematoma) from the fall. R1’s physician report dated 06/07/2021 indicates R1 is ambulatory with no history of falls and needs no transfer assistance. R1 can manage their own medications without any assistance. The facility protocol is to check in with Independent Living residents three times a day. Residents are asked to put a card outside their room daily by 8 AM. If the card is not observed, staff will check in on the resident. The two other checks are at lunch and dinner times. Residents can access assistance if needed by pulling the cord in their room. Once the cord is activated, an assisted living staff will respond to the resident’s room. Although R1 did sustain a fall at facility, interviews conducted and records reviewed indicate R1 was Independent. The facility had no reason to suspect R1 was at risk for a fall and therefore did not neglect R1. Based upon interviews and a review of records, the allegation is deemed UNFOUNDED, meaning the allegation is false, could not have happened and/or is without a reasonable basis. Exit interview conducted and a copy of this report was emailed to facility representative.