complaint·May 13, 2025

Resident sustained a fracture due to lack of care from staff Interviews conducted and records reviewed indicated that Resident R1 did not sustain any fractures or head injuries after the fall that occurring on 02/15/2024. Interviews with staff indicated that staff were present and were able to assist R1 during fall. Hospital records indicated that R1 did not have any injuries or fractures, but a sling was requested due to bruising and pain in arm from fall. Based on records reviewed and interviews conducted, there is insufficient evidence to corroborate the allegation. Staff spoke inappropriately to resident Interviews conducted indicated that staff speak appropriately to residents in care. Staff do not yell or talk inappropriately to residents in care. Interviews with residents indicate that staff are kind and there are no complaints regarding staff. Based on records reviewed and interviews conducted, there is insufficient evidence to corroborate the allegation. Staff did not ensure that resident was adequately fed Interviews conducted indicated that residents are adequately fed at the facility. Residents are able to eat breakfast, lunch and dinner with snacks as needed. Interviews with residents in care indicated that there is plenty to eat and a good variety of foods and meals to choose from. Based on records reviewed and interviews conducted, there is insufficient evidence to corroborate the allegation. Staff threw objects at resident Interviews conducted indicated that staff do not throw objects at residents in care. Interviews with residents indicated that they were not aware of any objects being thrown at the facility. Based on records reviewed and interviews conducted, there is insufficient evidence to corroborate the allegation. **Continued on 9099-C2 page** Staff handled resident in a rough manner Interviews conducted indicated that staff do not handle residents in a rough manner. Interviews with residents indicated that staff are kind. Interviews with staff indicated that staff are properly trained on handling or transferring residents. Based on records reviewed and interviews conducted, there is insufficient evidence to corroborate the allegation. Staff did not seek medical attention for resident in a timely manner Interviews conducted indicated that R1 went to the hospital frequently due to pain. Interviews with staff indicated that facility Administrator was the person who would take R1 to the hospital or doctors appointments. Staff called 9-1-1 at the request of R1 based on R1’s care needs or if any injuries occurred. Based on records reviewed and interviews conducted, there is insufficient evidence to corroborate the allegation. Staff interfered with resident visits Interviews with residents indicated that staff did not interfere with resident visits. Staff respected each resident’s wishes and would assist with visitors that came. Interviews with staff indicated that they only turned away visitors at the request of the resident themselves. Resident R1 would sometimes request to not have any visitors as it overwhelmed R1 at times. Based on records reviewed and interviews conducted, there is insufficient evidence to corroborate the allegation. Staff video recorded resident without consent Interviews with residents indicated that there were no cameras in resident rooms other than Resident R1. R1 had a camera in their room per their response party’s request. Interviews with staff indicated that they were aware of the camera, but it only was a video feed, no audio was allowed. Staff indicated that R1 was aware of the video camera in their room and had consented to having it there. Based on records reviewed and interviews conducted, there is insufficient evidence to corroborate the allegation. 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.