complaint·December 8, 2023

Continued from 9099... On 7/29/2023, Resident (R1) was transported to Kaiser Permanente Vacaville for bruising on the chest/right side. R1 was diagnosed with rib fractures to the left side that were in the healing stage. Medical records note the R1 sustained fractures to the left eighth, ninth and tenth ribs, bruising to the right side and hematoma on the right-side chest wall. R1’s physician reported that the injuries sustained could have been a result of trauma such as a fall. R1’s physician reported the injury pattern was not suspicious for physical abuse. Staff interviewed reported that R1 was non-ambulatory and required two person assist to and from bed. R1 was unable to walk and could only stand with assistance. Facility staff reported that R1 never had a witnessed or unwitnessed fall while living at the facility. Due to a lack of corroborating evidence to determine how the bruising, fractures and hematoma developed or as a result of physical abuse, the allegation is found to be unsubstantiated. Allegation, neglect/lack of care and supervision resulting in severe and unexplained injuries is UNSUBSTANTIATED. A finding that the complaint is unsubstantiated means that although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violations occurred. Appeal Rights given. No deficiencies cited during today's visit.