Incident investigation·April 8, 2024

Licensing Program Analyst (LPA) Kimberly Lyman conducted an unannounced case management visit to follow up on an incident report/ SOC 341 received by the department. LPA was greeted and granted entry into the facility and explained the reason for the visit. Incident report/ SOC 341 dated 04/02/2024 indicated that on 04/01/2024, Resident 1 (R1) told staff that a registry caregiver had been rough and unprofessional with the resident the night before. Staff assessed resident and observed discoloration on the resident's right upper arm. Facility alerted resident's family, physician and licensing. Resident's physician assistant ordered an x-ray for 04/04/2024. X-ray was performed with no fracture or dislocation detected. Facility notified registry of alleged incident and requested caregiver not return to facility. OC Sheriff was notified and interviewed resident. Resident denied abuse or harm from caregiver. During the investigation, LPA interviewed Resident 1 who denied any abuse or harm as well from caregiver. Resident verbalized feeling safe at the facility. LPA observed bruising on resident's arm which resident indicated came from the resident falling in the shower and the caregiver attempting to break the fall. Per physician order dated 03/12/2024, Resident is diagnosed with Mild Cognitive Impairment and is taking Eliquis twice daily. No further action required. Exit interview conducted and a copy of this report was left at the facility.