complaint·April 11, 2025

A SUBSTANTIATED complaint is defined as a violation has occurred and the preponderance of evidence has been met. An exit interview was conducted where a copy of this report along with appeal rights were provided to Administrator Monique Del Junco. An exit interview was conducted where a copy of this report LIC9099, LIC9099D and Appeal Rights were discussed and provided to Administrator Monique Del Junco. The second allegation alleged that staff handles resident in a rough manner. An interview conducted with the Administrator affirms that staff receive forty (40) hours of training in job related duties and will also shadow experienced trainers for on-the-job training. All care staff receive on-line training through Relias in various areas related to assisting residents with ADL, bathing, dressing and personal care. On 04/28/22, an interview with the hospice nurse states that R1 was transferred in a safe manner. The hospice nurse stated that R1 was not on any meds that cause bruising, not on thinners." but the "bruises are not alarming" because R1 was combative. The hospice nurse did not know how R1 could have gotten the wound but did not think that it was suspicious. Lastly, R1 had a half rail on the bed, tears and bruising may be an ongoing thing with R1, as long as R1 was combative and resistant. Six (6) out of eleven (11) staff state that staff are well trained and worked with another staff when lifting or transferring R1. The Service Plan dated 01/13/22 indicates that R1 requires a two-person assist in transferring. Based on interviews and record review, this allegation is UNSUBSTANTIATED. The third allegation is that the resident sustained an unexplained injury. The spouse of Resident 1 (R1) did not notice a skin tear on R1’s arm on 04/23/22. On 04/24/22 at 9AM, a family friend visited R1 and noticed the skin tear on R1’s left arm. An interview with the staff nurse (S4) confirmed that R1 was found on the morning of 04/25/22 with a skin tear and the family was notified. The hospice care notes indicate that on 04/26/22 a skin tear was observed on R1’s left arm. Five (5) out of eleven (11) staff denied causing injury to resident and did not observe the laceration when R1 went to bed the night of 04/23/22. Staff are train ed in first aid, to document injuries and to notify both the family and a supervisor. Based upon interviews and record review, these allegations are UNSUBSTANTIATED. An UNSUBSTANTIATED complaint is defined as the allegation may have happened or is valid, but there is not a preponderance of the evidence to prove that the alleged violation occurred. An exit interview was conducted where a copy of this report LIC9099 was discussed and provided to Administrator Monique Del Junco.