complaint·July 27, 2022

Continued from LIC9099 Staff observed that resident was not in their room at approximately 6:20am but assumed that the resident was elsewhere in the unit. Later in the morning, the resident was observed to be missing. Per facility protocol, the Memory Care Unit was searched and then the entire facility. Per police report, local law enforcement was dispatched to the facility at 9:32am. Resident was found approximately 2.5 miles away around 10:20am by a community member who contacted the police. Report notes that resident was having a difficult time walking and was taken to the hospital for leg pain. Once at the hospital, R1 was diagnosed with a stress fracture. An immediate civil penalty in the amount of $500.00 is issued today for the violation of a regulation resulting in bodily injury or illness of a person in care. As a result of resident’s injury, the violation warrants a civil penalty assessment based on Health and Safety Code 1569.49(f). At this time, the civil penalty assessment is under review. Deficiencies cited from the California Code of Regulations, Title 22, Division 6 of California Regulation. Appeal rights given. Failure to correct the deficiency and/or repeat deficiencies within a 12 month period may result in civil penalties