complaint·April 27, 2025

The investigation revealed the following: Allegation: Resident sustained unexplained injuries while in care. It is being alleged that a resident sustained some skin tears, possibly done when staff tried to reposition the resident. On 04/26/25, between 10:25 AM and 12:00 PM the department interviewed S1-S5. Based on interviews conducted, 5 out of 5 staff interviewed were not aware of the allegation. 5 out of 5 staff interviewed stated that all clients are treated with care, patience, dignity and respect. On 04/26/25, between 01:10 PM and 02:40 PM, the department interviewed R1-R8. Based on interviews conducted, 8 out of 8 residents interviewed did not know of a resident sustaining unxexplained injuries while in care. 8 out of 8 residents interviewed stated that facility staff is providing them with the necessary care and supervision. 8 out of 8 residents interviewed stated that they are satisfied with the services being provided to them. Based on interviews, a review of records, and observation, the above allegation is found to be Unsubstantiated. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur. Allegation: Residents are left in soiled diapers for extended period of time. It is being alleged that a resident was found drenched in urine and that they had not been checked on since the night before. On 04/26/25, between 10:25 AM and 12:00 PM, the department interviewed S1-S5. Based on interviews conducted, 5 out of 5 staff interviewed stated did not know of a resident being left in soiled diapers for an extended period of time. 4 out of 5 staff interviewed stated residents are changed every 4 hours and as needed, and 1 out of 5 staff interviewed stated they did not know how often residents were changed. On 04/26/25, between 01:10 PM and 02:40 PM, the department interviewed R1-R8. Based on interviews conducted, 7 out of 8 residents interviewed stated they did not know of a resident being left in a soiled diaper for an extended period of time, and 1 out of 8 residents stated they have been left in a soiled diaper for an extended period of time. Continued on LIC 9099-C 7 out of 8 residents interviewed stated that they are changed when they need to be changed, and 1 out of 8 residents interviewed stated they are not changed when they need to be changed. 7 out of 8 residents interviewed stated that their daily needs are being met, and 1 out of 8 residents interviewed stated that their daily needs are sometimes met. 8 out of 8 residents interviewed stated that they are satisfied with the services being provided to them. Based on interviews, file review and observation, the above allegation is found to be Unsubstantiated. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur. No deficiencies were cited during this visit. An exit interview was conducted with Activities Director, Destiny Quijada, and a copy of this report was provided.