complaint·April 17, 2023

S1 found that R1 had fallen and was caught on the right side of the bed and the left side/stomach of R1’s body was on the floor. S1 found minor injuries to R1’s arms. S1 called R1’s hospice nurse immediately to address the situation. R1’s responsible party was called and informed of R1’s fall. R1’s responsible party lives outside the state of California so as a precaution the responsible party called the police to check on R1. When police and hospice arrived, they did not note major injuries. Hospice cleaned the wound and applied dressing to the wound. During interview with R1’s responsible party, LPA discovered R1’s responsible party was immediately informed of R1’s fall and police were only called as a precaution due to the responsible party living outside of the state of California. R1’s responsible party noted that they did not have any suspicions of elder abuse towards R1, and they were satisfied with the care being provided to R1. During document review, LPA found that the facility submitted a special incident report to state licensing detailing R1’s fall on 11/5/2020. The report included the police report number and the same recollection of events that was provided in the interview with facility staff. For allegation, Staff caused injury to resident: Based on the information gathered on the allegation of the resident suffered a fall resulting injuries, LPA found that R1 did fall and sustain injures to their arm, but the injuries were not caused by a staff. The staff took the correct actions to help the resident during and after R1’s fall. Based on the evidence found during the investigation, the allegations listed above are deemed UNSUBSTANTIATED. A finding that the complaints are UNSUBSTANTIATED means although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur. During today’s visit, no deficiencies were cited per Title 22, Division 6, of the California Code of Regulations. An exit interview was conducted, and this report was discussed and provided to Caregiver Jose Itchon, along with a copy of the appeal rights.