complaint·August 30, 2022

Interviews with internal sources revealed residents in the memory care unit were frequently observed and encouraged to participate in community activities. If a resident decided to spend time in the resident’s room, staff would conduct hourly to half hour checks. The time frame of the checks was dependent on the resident’s needs at that specific time. On 12/3/21, R1 was assisted to the dining room for dinner and assisted back to R1’s room after. A few minutes later, R1 was found on the ground with a laceration to the eyebrow and was transported to the hospital. Documents obtained at the facility revealed the facility does not provide one to one care and supervision, and residents were able to hire a third party to provided additional services, including assistance and companionship. An interview with an outside source who conducted regular visits to the facility did not disclose any concerns regarding neglect, nor lack of supervision at the facility. Based on the evidence gathered throughout the investigation, there is not a preponderance of evidence to prove the alleged violation occurred, therefore, the allegation is unsubstantiated. An exit interview was conducted with Executive Director, Foudhil Manadi, to whom a copy of this report, and Licensee's Rights (LIC 9058 01/16) were provided to