complaint·July 23, 2025

Information obtained from interview with R1 did not indicate they had any bruises, due to R1 not able to coherently answer questions pertaining to the allegation. Information obtained from interview with R2 indicated there was no hitting and/or fighting, between them. Additionally, there were no interactions between R1 and R2. Information obtained from interviews with additional residents stated they were not aware of any of the residents being involved in any kind of altercation. Residents were unable to advise if they observed R1 to have a bruised eye or hand. LPA’s review of the records confirmed R1 and R2 had been receiving services through hospice care since being admitted to the facility. LPA made several attempts to obtain hospice notes regarding whether R1 was observed to have a bruised eye or hand. LPA was unable to obtain any additional documents. On 03/28/2024, LPA made observations of R1 and observed skin discoloration on R1’s hands, however, LPA did not observe any bruising to the eyes. Based on information obtained from interviews, record reviews, and observations, the information obtained regarding the allegation staff did not prevent residents from getting injured while in care was not sufficient. Due to the inability to obtain pertinent documentation, and additional hospice records, the allegation has been deemed unsubstantiated. An allegation deemed unsubstantiated means although the allegation may have happened, but there is not a preponderance of the evidence to demonstrate if the alleged violation did nor did not occur. An exit interview was conducted, and a copy of this report was discussed and provided to Administrator, Genessis Garcia.