Complaint·October 25, 2023

LPA visited the facility on October 3, 2023 and found R1 in the common area participating in group physical fitness activities. R1 appeared well groomed with no noticeable injuries on R1's body. R1 appeared alert and did not appear in pain or distress. Interview with outside agency revealed that on September 27, 2023 they visited R1 and they did not observe any marks, bruises, or trauma on R1's person. Outside agency stated that from their observation the staff to resident ratio in the memory care was "good." Outside agency further stated that R1's demeanor did not look like R1 had any concern. Outside agency stated that R1 looked content, more then anything. Interview with Director of Continuing Care revealed there is a 24 hour nurse in R1's unit which is always fully staffed. Director further stated that their are camera monitors in the; director's, nurses and supervisors office which provides "extra eyes" on the unit floor. Director stated that due to the location of the skin tear on R1's arm, it was found at the end of the day when R1 was being undressed by staff. Once the injury was found by staff, hospice was immediately notified and hospice responded with Doctor's orders. Based upon the foregoing, the above listed allegation is unsubstantiated. This finding means that the preponderance of the evidence standard has not been met and the allegation is not valid. An exit interview was conducted with Kim Dominy. A copy of this report along with licensee rights (LIC 9058, 3/22) was provided to Kim Dominy whose signature below verifies receipt of these rights.