Incident investigation·May 13, 2024

Licensing Program Analyst (LPA) Talwinder Bains arrived at the facility unannounced on 05/13/24 to do case management visit. LPA met with administrator David Bostanchyan and explained the purpose of the visit. Department followed up on Incident Report (IR) sent by facility on 05/08/24 stating that resident, R1 had a wrist fracture which was diagnosed on 05/08/24 after staff noticed swelling in R1s right hand on 05/06/24 around 11am and notified administrator. IR indicated that administrator notified R1s family and doctor regarding this hand swelling on 05/06/24. R1s doctor ordered lab work and X-RAY and results dated- 05/08/24 indicated wrist fracture on R1s right wrist .Department conducted interviews with resident, R1 ,administrator and 1 staff member regarding this incident. At this time, this case is under review and department will do follow up as needed. No citations were issued per Title 22 Regulations. Exit interview conducted and copy of the report left at facility.