complaint·October 20, 2021

Licensing Program Analyst Michelle Reed arrived at the facility to discuss the complaint allegation. Upon arrival LPA met with Business Office Manager Shaima Faisal and Health and Wellness Director Michelle Angcaco. Records were reviewed and interviews were conducted. Resident #1(R1) was admitted into the facility on 6/18/21. R1 is nonambulatory and according to staff is independent. R1 uses a scooter and can leave the facility unassisted. Staff assist with bathing and the storage and supply of oxygen. Staff will check on all residents at least once a night. On 10/9/21 at approximately 12am, R1 was found by staff lying on the floor of his room complaining of back pain. R1 had taken off his life alert and could not reach the phone. Staff immediately called 911. R1 was treated for a fracture and is currently at skilled nursing. Wellness Director Michelle Angcaco stated that R1's care needs will be reassessed before he returns to the facility. Based upon interviews and a review of records, the allegation above is unsubstantiated, meaning that there is not a preponderance of the evidence to prove that staff failed to provide adequate supervision to R1. An exit interview was conducted and a copy of this report was provided to Michelle Angcaco.