complaint·August 10, 2025

Allegation: Resident sustained unexplained injuries while in care The complaint details indicate that resident #1 (R1) was transferred to Riverside Regional Medical Center on June 6, 2022, for labored breathing. During this visit, the hospital staff discovered various bruises on R1's left chest. On August 9, 2025, the Licensing Program Analyst (LPA) interviewed Administrator #1 (A1), who denied the allegations. A1 explained that R1 sometimes becomes agitated due to medication side effects. On the same day, the LPA interviewed five staff members (S1-S5), all of whom also denied the allegations. They emphasized that they treat all clients with respect and dignity and would never mistreat any residents in their care. Additionally, the LPA spoke with six residents (R2-R7) on August 9, 2025. All of them denied the allegations and stated that the staff provide care and assistance with their daily activities. And never mistreated them. On August 8, 2025, the LPA interviewed two witnesses (W1-W2), both of whom also denied the allegations. They reported observing R1 when agitated and noted that R1 had been hitting R1's chest. The witnesses affirmed that the facility staff are always caring and take good care of R1. Report Continued LIC9099C On 08/09/2025, LPA record review of the Medication prescribed list found that R1 was taking four medications, with their side effects being anger, hostility, Mild skin rash, hives, bruising, itchy skin, and weight loss. LPA was not able to interview Resident #1 due to R1 passed away on 05/29/2025. Based on records review, interviews, and observations, LPA did not find sufficient evidence to support the above allegation. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur; therefore, the allegation is Unsubstantiated. No deficiencies were cited. An exit interview was conducted, and a copy of this report was provided to the Administrator Genessis Garcia.