complaint·May 5, 2021

Community Care Licensing Division (CCLD) received notification on 1/18/2021, of the 1/7/2021, and 1/9/2021, incidents. The Executive Director Cheryl Martin reported that the 1/7/2021, incident was faxed to CCLD on 1/14/2021, and the 1/9/2021, incident was faxed to CCLD on 1/15/2021. The incident reports did not indicate that bruising was initially noted on 1/5/2021. An interview conducted with ED indicated that after the 1/5/2021 incident, RP and CCLD should have been notified immediately. Due to this information CCL finds the allegations to be SUBSTANTIATED - A finding that the complaint is Substantiated means that the allegation is valid because the preponderance of the evidence standard has been met. The following deficiencies are being cited on 9099-D, per Tittle 22 regulations: 87211(a)(1)(B) – Reporting Requirements; 87466 – Observation of the Resident. Exit interview conducted with Cheryl Martin (Admin). LPA provided admin with a signed copy of the report, along with the 9099-D. Appeal rights provided. Community Care Licensing Division (CCLD) received notification on 1/18/2021, of the 1/7/2021, and 1/9/2021, incidents. The Executive Director Cheryl Martin reported that the 1/7/2021, incident was faxed to CCLD on 1/14/2021, and the 1/9/2021, incident was faxed to CCLD on 1/15/2021. The incident reports did not indicate that bruising was initially noted on 1/5/2021. An interview conducted with ED indicated that after the 1/5/2021, incident, RP and CCLD should have been notified immediately. During a virtual tour of the facility upon opening the complaint on 1/21/2021, LPA Leitzell viewed R1’s room and noted it had been cleaned prior to the tour. An interview with the ED conducted indicated that the room was cleaned twenty-four (24) hours after R1 went out to the hospital. Between that time, R1’s family came to gather belongings, viewing a room that had vomit on the carpets and some of R1’s clothing. ED stated the family has a right to be upset, and the room should have been cleaned in a timely manner. Due to this information CCL finds the allegations to be SUBSTANTIATED - A finding that the complaint is Substantiated means that the allegation is valid because the preponderance of the evidence standard has been met. Technical Assistance being assessed. CCL finds the allegation of Resident Sustained a Fracture while in care to be UNSUBSTANTIATED. A finding that the allegation 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. Although there is proof to say that R1 sustained a fracture, there is insufficient evidence to suggest neglect or lack of supervision are at fault.