Complaint·July 18, 2025

(CONTINUED FROM LIC9099) It was also alleged Licensee staff are not properly supervising R1 who is a fall risk. More specifically, R1 falls often and R1 requires assistance for all her tasks.  A review of R1's physicians reported dated June 23, 2025 reveals a diagnosis of senile degeneration of the brain and is currently also under the care of a hospice agency. LPA observations reveal staff assist residents during ambulation, monitor common areas, and provide one-on-one support for those residents that may be a fall risk.   LPA also reviewed staff files and they revealed extensive precautionary fall prevention training.  Staff interviews confirmed they were knowledgeable about resident's needs and trained in fall prevention protocols. Additional outside source interviews reflected a sense of safety and satisfaction with the level of care supervision provided. A review of incident reports showed timely follow-ups for R1, and care documentation for R1 revealed updated care plans. The Department has investigated the above-mentioned allegation and based on interviews and records review, the preponderance of the evidence has not been met, therefore, this allegation is deemed UNSUBSTANTIATED. An exit interview was conducted with Brandon Cho,Executive Director. A copy of this report was provided and their signature on this report confirms receipt.