Complaint Investigation Report

The complainant also reported that R1 was physically dropped by a staff member(s) on 03/02/23.

Based on LPA’s record reviews and interviews with Staff (S1, S2 & S3), and Witnesses (W1 & W2), it was revealed that R1 could walk using assistance from a walker according to S2, and although R1 needed assistance getting dressed R1 would let S2 know if he/she didn’t want to change clothes, but maybe later and R1 would do that; R1 was alert and could ask to go to the hospital on his/her own. S1 stated that R1 could move around unassisted. S3 confirmed that R1 transferred from the Skilled Nursing Facility (SNF) at Greenridge Senior Living, El Sobrante, CA on 02/18/23. W1 stated, “R1 had a stroke about six years ago, made so many comebacks, beat COVID, and the facility really did a great job with R1.” W2 stated that the allegations are ridiculous and W1 did his/her very best taking care of R1. W1 stated that R1 died in the hospital 02/27/23 on his/her own after being in and out of the hospital for years.

Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED.

Exit interview conducted and a copy of this report provided to Administrator.