Complaint·January 7, 2025

Continues from LIC9099... Hydroxyzine 25mg tablets were ordered for itching/anxiety. The facility provided R1’s records including physician’s report dated 8/25/23 does not indicate any history of skin condition/breakdown at that time. Although, physician’s order dated 2/26/2024 for Ivermectin 3mg tablets for treatment of scabies. On 3/26/24, R1 had an in-person visit with their physician, who prescribed medications not related to the bruising. However, there were no bruising observed during that in-person visit to their physician. According to facility narrative charting provided to LPA describes that on 3/28/24 R1 was walking down the hall, skin tear and blood was observed on their right forearm, it was cleaned by staff (S1) who placed a band aid and Wellness Director was notified, but the facility did not seek for medical attention for R1, because their policy states that bandage only needed, did not require staff to notify the responsible parties. LPA will address medical attention in a case management due to facility did not seek any further medical attention. On 4/2/24 the facility received a call from R1’s responsible party notifying the facility about R1’s bruising and a bandage that was falling off. On 4/5/24, The Department received SOC341 along with incident reporting suspected physical abuse with unknown suspected abuser. The SOC341 was generated upon request of an outside agency on 4/3/24 after noticing that the facility have not adequately reported R1’s bruising and what appeared to be digging of nails looked like abuse. Based on interviews conducted with outside parties and facility staff, it was determined that on 4/8/24 there was a conference meeting held to discuss the issue. On 4/4/24 staff training records confirmed that staff have received mandated reporting training. Moreover, verbal statements obtained from interviews with involved parties reflects contradictory information and there was no indication to determine the reason of R1’s bruising. According to police records, case #24-3919 has a conclusion of “suspended” status due to other unrelated factors. Based on records review and interviews, LPA is unable to obtain supporting evidence to determine the reasons of R1’s bruising on their forearms. A finding that the complaint allegation occurs of resident sustained unexplained bruising 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.