complaint·January 21, 2025

Continued from LIC9099... According to staff, R1 tends to hit the walls with their hands, developed combative behavior, refuses to drink enough water and have been recently diagnosed with urinary tract infection (UTI). Interviews conducted with residents (R2 & R2) did not reveal any witnessed incident of abuse. Based on records review, R1’s physician report dated 9/6/24 indicates that R1 has a diagnosis of hypertension and did not have a history of self-abuse or aggressive behavior condition prior to this incident. The facility provided daily progress notes indicating that on 3/19/24, staff have noticed a tendency of R1 to be slightly aggressive to them, R1 swing their arms at them, but neither R1’s physician’s report nor their care plan was updated on 9/4/24 reflecting how the facility will be handling any of these behaviors. Although, LPA is unable to determine the reason of R1’s fracture on their wrist. LPA have reviewed incident report logs from the facility that did not indicate the facility made a report to the Department about any incident and no further details were documented regarding any investigation been conducted by the facility. LPA will address reporting requirements and medical attention in a case management due to facility did not seek any further medical attention. A finding that the complaint allegation occurs of resident sustained unexplained injury while in care is unsubstantiated meaning that although the allegations may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegation is UNSUBSTANTIATED.