Senior Care Records.

Complaint Investigation Report

Country Place Assisted Living, Antioch06/30/2022Licence 075601547

Census35
Date signed06/30/2022 01:35:11 PM
The inspector’s account

R1 was diagnosed at the hospital with a hip fracture and later sent to a skilled nursing facility for rehabilitation. The preponderance of evidence has been met. Therefore, the allegation is substantiated.

Allegation: Resident was injured while in care

Review of incident report dated 05/05/20 show resident (R1) suffered a hip fracture at the facility early May 2020 requiring hospitalization and rehabilitation. The preponderance of evidence has been met. Therefore, the allegation is substantiated.

Deficiencies are cited per Title 22 California Code of Regulations and listed on LIC9099D. Failure to submit proof of corrections (POC) by plan of correction due dates and/or any repeat deficiencies within a 12-month period may result in civil penalties.

Exit interview conducted. Appeal Rights and a copy of this report provided via email.

Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction