complaint·October 31, 2025

Hospitality House staff were interviewed, and they all denied R1 suffering any falls or other injuries. R1 husband visited R1 about four times per week. Interviews with R1 husband states about one week prior to 8/3/2025 and noticed R1 kept right arm tucked and did not want anyone to touch R1.R1’s husband touched and “gently squeezed” R1’s arm but didn’t appear to be in pain. Due to not being able to determine how R1 sustained a fracture, the findings are unsubstantiated. Based on records reviewed, and interviews with staff and R1’s husband on the information provided, it was unclear if resident sustained a fracture due to staff neglect, therefore the allegation was deemed UNSUBSTANTIATED. Staff does not notify resident's authorized representative regarding incidents- Based on records reviewed, interviews with staff, and R1 husband. LPA Lund reviewed faxed in Unusual Incident/Injury Report dated (LIC624) dated August 5, 2025, 2324. At approximately 2:20 PM R1 had a change in condition and 911 was called and sent to the Hospital Emergency Room for evaluation. On the LIC624 Primary Care Provider and Responsible Party (R1 husband) was notified. Department of Social Service Staff verified that R1 husband was notified. Based on records review, interviews with clients, reporting party, and staff the information provided, it was unclear if staff does not notify resident's authorized representative regarding incidents, therefore the allegation was deemed UNSUBSTANTIATED. The Department (CCLD) has found the allegations. Unsubstantiated. A finding that the complaint allegation(s) are UNSUBSTANTIATED means that although the allegation(s) may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation(s) occurred. Exit interview was conducted with and report left.