Incident investigation·September 12, 2022

On 09/12/22, Licensing Program Analyst (LPA) Talwinder Bains arrived at the facility and met with Administrator, Stephen Macdonald , to follow-up on an Unusual Incident Report (IR) and SOC 341 received by the department on 08/24/22 for resident (R1) regrading an incident happened on 08/22/22. Facility currently does not have any COVID-19 positive cases. LPA wore surgical mask while in the facility. LPA was screened by facility staff upon entry. IR and SOC 341 received on 08/24/22 stated that R1s family reported to facility on 08/22/22 around 9pm that R1 was 'thrown on the ground and slapped'. Facility staff and administrator reported the incident to police on the same day with case number # 22-249421 and police interviewed R1, facility staff and family. Administrator also interviewed facility staff on 08/22/22 and ensured the safety of R1 at the facility. Facility did report the incident to Ombudsman on 08/24/22. After the total skin check of R1 by staff and interviewees conducted on 08/22/22 , there was no sign of injury or bruise noted with R1 with presence of family . Facility did notify R1s physician as well regarding the incident. During today's visit, LPA interviewed facility staff regarding the incident. Per staff, R1 had diagnosis of dementia and R1s health was declining recently. R1 did require 2 or more staff assistance with her care needs. R1 was living at the facility since 12/18/19. R1s had a change in condition on 09/03/22 and she was transferred to hospital. R1 came back from hospital on 09/08/22 with hospice care and expired on 09/12/22 at the facility. Per facility staff, facility provide care to R1 per R1s care and service plan. Per facility staff, R1s physician, family and facility staff were aware regarding R1s health condition. LPA and administrator toured the facility to check the health and safety of residents in care. No deficiencies are cited during today's visit. Exit interview was conducted with Administrator and a copy of this report provided. The signature of the Administrator on this form acknowledges receipt of this document.