Incident investigation·August 5, 2024

Licensing Program Analyst (LPA) Talwinder Bains arrived at the facility unannounced on 08/05/24 to do case management visit . LPA met with Administrator , Stephen Macdonald and explained the purpose of the visit. Incident for Resident, R1 - Department followed up on Incident Report and SOC 341 sent by facility on 07/19/24 stating that resident, R1 reported to staff on 07/18/24 around 8AM that staff, S1 was rough with them while providing care to R1 on 07/18/24 during morning shift care. Facility notified law enforcement regarding this incident and there were no findings. Facility also notified R1s physician, LTCO and responsible party regarding this incident. Facility Nurse checked R1 for any injurers and none were present. Incident for Residents, R2 and R3 - Department followed up on Incident Report and SOC 341 sent by facility on 07/22/24 regarding an incident which happened between 2 residents (R2,R3) during dinner time around 6pm on 07/21/24. Incident report stated that R2 was at dining room table, when R3 walked up and began to move the cups around. R2 began to yell at R3 to get away from the table. R3 was observed throwing a cup at R2 and it hit R2 above their lip, causing a small cut. R3 was redirected to another area. Med tech was notified, and the cut was cleaned and covered for R2. Facility notified R2s and R3s physician, LTCO and responsible party regarding this incident. Department conducted interviews with 3 residents during today's visit and requested documents from staff,S1s file and facility shall send all requested documents to LPA via email by 08/06/24 by 5pm. At this time, these incidents are under review and department will do follow up if warranted. No citations were issued per Title 22 Regulations. Exit interview conducted and copy of the report left at facility.