complaint·June 19, 2024

[Continued from LIC9099] Outside Source (OS1) was called by phone to inform OS1 about the fall and OS1 instructed S2 to assist R1 from the floor and place R1 back in bed since there were no visible injuries or complaints of pain. Once R1 was back in bed, R1 exhibited signs of pain on the hip. S2 called back OS1 and S2 was instructed to give R1 pain medication. On January 19, 2023 OS1 visited R1 at the facility. OS1 assessed R1 and determined that R1 was in pain. OS1 contacted Outside Source 2 (OS2) to discuss care options. OS2 elected to have R1 remain at the facility and have OS1 provide pain medications for R1's pain. Initially the pain medication provided relief but at some point, R1 was showing signs of pain once again. From January 20, 2023 through January 23, 2023, OS2 observed R1 to be in more pain each day. Subsequently, OS2 asked for 911 to be called so R1 could be evaluated at the hospital. On January 23, 2023 Paramedics arrived and transported R1 to the hospital where R1 was diagnosed with a fractured pelvis. R1 expressed pain from the time of the fall on January 18, 2023 to the time of the transfer to the hospital on January 23, 2023. R1 was able to express pain and the pain was not relieved by medication. The facility did not seek timely medical attention to address R1's expression of pain for 5 days. The Department has investigated the above-mentioned allegation and based on interviews and records reviewed, the preponderance of the evidence has been met, therefore, this allegation is deemed substantiated . The deficiencies are cited in accordance with California Code of Regulations, Title 22 Division 6, Chapter 8 and noted on the attached LIC 9099-D. An exit interview was conducted, plan of correction were reviewed and a copy of this report along with licensee Appeal Rights (LIC 9098 03/22) was given to Sabrina Priesman Executive Director whose signature below confirms receipt of these rights.