Complaint·May 2, 2024

On 8/17/2021 during dinner time, two (2) staff members were present in the dining room along with other residents to include R1 and R2. Staff interviews confirmed R1 and R2 did not have any contact with each other during dinner time. While staff were assisting the residents, R1 went to use the restroom. R2 did not want to sit nor eat and started to walk around in the dining room area. Staff observed R2 pushed R1 from behind, R1 fell to the ground. R1 complained of leg pain, and R2 started banging their own head against the wall. Staff called for assistance, then the Police and Paramedics arrived. Both R1 and R2 were transported to the hospital for evaluation and treatment. At the hospital, R1 was diagnosed with a fractured hip and received surgery. R1 resided at the facility from 06/29/2021 to 8/17/2021. Facility records showed R2 started to show aggressive behavior towards other residents and staff as early as 7/4/2021. The administrator’s interview revealed they were looking for placement as R2 required a higher level of care. The administrator also indicated not being aware of the aggression upon admission and was not notified by R2’s responsible party there was any aggression to be addressed. Staff also reported they made accommodations to work and assist R2 while they were living at the facility. Facility records showed staff documented all incidents and the administrator attempted to find another placement for R2. The incident was observed by a staff member. Therefore, there was no lack of supervision resulting in the incident. During the course of the investigation, interviews were conducted, and records were reviewed. Investigation revealed inconsistent statements and information obtained did not present a preponderance of evidence to support or corroborate the allegation. The allegation is deemed unsubstantiated. An exit interview was conducted and a copy of this report along with Licensee Rights (LIC 9058 03/22) were provided to Administrator, Rocio Granda whose signature below confirms receipt of these rights. [See LIC 811 Confidential Names List to identify Residents 1-2]