Complaint·September 14, 2024

Staff S2 stated he/she noticed the swelling on July 18, 2022. S2 talked to S1 about the swelling and S1 was putting Salonpas on the affected area. S2 stated when R1 felt better he/she said "ok, ok”. S2 stated he/she thought it was R1’s arthritis and R1 never expressed pain. S2 stated the facility staff can tell when R1 is in pain through her facial expressions. Staff S1 and S2 stated they did not observe R1 fall or sustain an injury. On August 11, 2022, LPA interviewed ADM. ADM was notified by staff on July 21, 2022 that R1 had slight swelling but was able to still move around. ADM stated she observed the swelling and informed staff S1 to call On Lok to schedule an appointment with R1’s doctor to be evaluated. ADM stated R1 was still able to hold onto his/her walker, go to the bathroom, move his/her arms and legs. ADM stated when she asked R1 how he/she was doing R1 verbalized a little bit that it was hurting but R1 was not grimacing. Based on a review of R1’s Physicians Report, dated July 21, 2022, R1 is able to follow instructions and is able to communicate needs, via cueing. Based on a review of R1’s Needs and Services Plan, dated January 1, 2022, resident R1 will respond if asked and speaks basic English. Based on a review of R1’s discharge summary, dated July 26, 2022, CT scans were done on R1 and R1 had no signs of fracture. The discharge summary also stated the bruises on R1’s chest is more likely pigmentation. The summary also states R1 has a neurocognitive disorder and is nonverbal mostly. The Department has completed the investigation of the above allegations. Based on interviews conducted and records review, the department has found that the above allegations were UNFOUNDED , meaning that the allegations were false, could not have happened and/or are without a reasonable basis. No deficiencies cited, an exit interview conducted with Lead Luzviminda "Minda" Obillo and a copy of the report was provided. Page 2 Out of 3. Facility did not report resident injury to Licensing/Facility did not notify resident's family or responsible party of injury On July 26, 2022, the department received a complaint alleging Facility did not report resident’s injury to licensing. It has also been alleged, the facility did not notify the resident’s family or responsible party of injury. Based on interview and record review, on July 18, 2022, resident R1 was observed with swelling. On August 11, 2022, LPA Dolores interviewed ADM. ADM stated he/she called late Friday afternoon and left a voicemail for Community Care Licensing main line. ADM also states to have sent an incident report to Licensing. On October 11, 2022, LPA Dolores interviewed R1’s Responsible Party. (R1RP) R1RP stated he/she was informed by facility staff the day R1 was sent out (July 22, 2022). R1RP stated he/she was informed by the facility that they noticed some swelling on R1’s chest and they called On Lok. Based on record review, the Department received an incident report dated July 22, 2022. The incident Report was sent by the ADM. The incident report states staff called on LOK Clinic to report R1 had slight swelling on R1’s Clavicle and bruise in the breast area, with no fall or injury noted. The Department received this incident report on July 25, 2022. The Department has completed the investigation of the above allegations. Based on interviews conducted and records review, the department has found that the above allegations were UNFOUNDED , meaning that the allegations were false, could not have happened and/or are without a reasonable basis. No deficiencies cited, an exit interview conducted with Lead Luzviminda "Minda" Obillo and a copy of the report was provided. Page 3 Out of 3. END OF REPORT.