complaint·August 10, 2023

On 01/16/2023, facility staff S1 and S2 were working and overheard R1 yelling for help. S1 and S2 found R1 on the floor of the Memory Care unit of the facility. S1 and S2 did not know how R1 fell. R1 told S2 that R1 lost R1’s balance and fell. S2 called 911 for R1 to be taken to the hospital. S1 and S2 were aware that R1 had an unwitnessed fall and injured R1’s left shoulder and left hip. After several staff interviewed and review of R1’s resident records, R1 was found to not be a fall risk and to not have a fall history. R1 was admitted to the facility without a walker. Based on information from interviews conducted with staff and records reviewed, although the allegations listed above may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur. Therefore, the allegations are unsubstantiated. No Deficiencies cited under California Code of Regulations Title 22 This report was reviewed with Ivonne Sanchez, Facility Manager, and a copy of this report was provided. Page 2 of 2. END REPORT