Complaint·May 23, 2025

Resident sustained severe injuries while care Interviews conducted with Administrator indicated that Resident R1 was considered a fall risk so staff monitored closely and escort R1 when they walk around the facility. Interviews with care staff indicated that R1 had fallen on 7/30/2024 while in the dining room. R1 attempted to stand on their own but was unable and they fell to a sitting position on the floor. Staff were quick to help R1 and check for injuries. Records reviewed indicated that R1 was a fall risk and needed assistance with moving about the facility and needed overnight observation due to wandering risk. Incident reports reviewed indicated that R1 had bruising/discoloration on forehead and right eye when R1 was admitted to facility on 07/28/2024. R1 also had a fall on 07/30/2024 which both physician and responsible party were notified about. Facility staff quickly and appropriately assisted R1. Based on interviews conducted and records reviewed, the allegation resident sustain sever injuries while in care is unsubstantiated. Licensee was advised a copy of this report will be sent via certified mail. Two copies of this report will be sent. The Licensee is to sign and return a copy to the Orange County Regional office.