Complaint·July 26, 2022

Licensing Program Analyst (LPA) Michelle Reed arrived at the facility to deliver the findings for the above complaint allegations. Upon arrival, LPA met with Administrator Phat Nguyen. The investigation consisted of interviews with the Administrator, staff, and resident as well as documentation from the facility. The following was determined: R1 was admitted into the facility on 9/28/19. Records reviewed disclosed that R1 is non-ambulatory, has capacity for self care and stores and administers his own medications. The allegations allege that on 9/27/20, staff failed to escort R1 to breakfast. According to staff interviewed, R1 refused to go to breakfast. R1 administered himself his medications without food which caused R1 to faint and fall resulting in a cut on R1’s leg. When staff were later told of the incident staff did not administer first aid as R1 refused to be assessed for any injuries. Staff asked R1 if he would like go to the hospital or to the doctor's. R1 stated "no, I am going to see my doctor tomorrow and will be assessed then" Based upon interviews, the allegations above are unsubstantiated, meaning that although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur. An exit interview was conducted and a copy of this report and appeal rights were provided to Administrator Phat Nguyen.