complaint·April 11, 2022

*This is an amended version of an original report dated 04/11/2022. Regarding the allegation, "Medical treatment was not sought for a resident in a timely manner", interviews conducted did not reveal details regarding this allegation. It was alleged that it was in reference to R9. LPA obtained a copy of the Unusual Incident/Injury Report for R9 dated 03/23/2022 and it revealed R9 was found on the floor. It further revealed staff called for an ambulance when R9 was found on the floor and R9 was transported to the hospital. LPA obtained a copy of the Unusual Incident/Injury Report for R9 dated 03/29/2022 and it revealed R9 had a follow up medical appointment and during that visit, the physician ordered R9 to be sent out via non-emergency to be further evaluated. Resident had been unable to manage their diagnosis. R9 no longer resides at the facility and LPA was unable to obtain contact information, therefore R9 was not interviewed. Regarding the allegation, "Resident sustained an unwitnessed fall while in care." R9 no longer resides at the facility and LPA was unable to obtain contact information therefore R9 was not interviewed. A review of R9's Physician Report dated 02/10/2022, R9 was non-ambulatory and was able to bathe, dress/groom and care for own toileting needs. The report also indicated "no" under motor impairment/paralysis. An exit interview was conducted with Ms. Montes and a copy of this report was provided along with copies of the LIC811, and LIC811-C.