complaint·July 9, 2024

Complaint alleges due to lack of supervision, resident on resident assaults occur. Based upon a review of facility records and incident reports, it was found it was found that on 5/21/2024 R2 had been reported to demonstrate physically aggressive altercation with resident R3. Based upon a review of facility and resident medical records it was found that the facility notified R2's physician of the incident and implemented a medication change and increased redirection based on observed aggression. Record review also indicated that on 5/23/2024, R2 was observed by staff, attempting to choke resident (R4) but with staff successfully being able to redirect R2. This also indicates facility is implementing care intervention. Lastly, resident records indicate that the facility had contacted R2's family to discuss increased supervision. Due to a lack of corroborating information the allegation is found to be unsubstantiated. Allegations, staff does not provide adequate information regarding resident to responsible party and due to lack of supervision, resident on resident assaults occur are unsubstantiated meaning that although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred. No deficiencies cited. Allegation, staff does not provide adequate supervision resulting in residents leaving facility is found to be SUBSTANTIATED. A finding that the complaint is SUBSTANTIATED means that the allegation is valid because the preponderance of the evidence standard has been met. The following deficiencies were cited on 9099-D, per Title 22 Regulations, Division 6. Failure to correct the deficiency and/or repeat deficiencies within a 12 month period may result in civil penalties. Exit interview conducted and appeal of rights provided.