complaint·October 10, 2023

A police report concluded that based on the totality of statements provided the officer did not have probable cause to believe R1 was physically abused by caregivers at the home. In the allegation, it was also alleged that R1 had sustained a back injury. Interviews with family of R1 confirmed that R1 had had x-rays that found a spinal fracture but that it was of unknown origin or when it may have occurred. Before admission to this facility, R1 had had a fall at skilled nursing that resulted in injury. However, no x-ray was done at that time. R1 also had a fall on 8/24/23, at this facility, at which time he said that he thinks his back was broken. On 8/25/23 was when the back fracture was diagnosed. R1's responsible party stated that the fracture could have occurred prior to admission. Family stated that following R1's fall in Skilled Nursing, R1 has undergone rapid recline. With conflicting accounts of the 9/3/23 event by caregivers and R1 and that R1 did not continue to state that staff hit R1 in R1’s account to hospice, the department is unable to find a preponderance of evidence whether staff hit R1 or of R1 hit staff. Additionally, staff interviews, hospice records nor family statements found neglect of R1’s care needs. The issue of R1’s leave from the facility unassisted on 9/4/23, is addressed in a separate facility report. As a result of this investigation, LPA finds allegation to be (US)Unsubstantiated - A finding that the complaint is Unsubstantiated means that although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred. Exit interview with administrator and report provided to designee Sandra Janette Garcia.