Facility Evaluation Report

Licensing Program Analyst (LPA) Lady Cabrera conducted an unannounced case management visit to the facility.

The purpose of the case management visit is to respond an incident report that was submitted to CCL Office and was dated approximately 08/15/2021.

LPA met with Administrator Shaun Rushforth and stated the purpose of the visit. LPA interviewed Administrator regarding Staff (S1) witnessing S2 grabbing onto Resident (R1) arm to turn her over the bed. According to S1, R1 seemed frustrated and resistant to care provider. It was reported that R1 has dementia, she is currently taking a daily aspirin, a known blood thinner, which could make her more susceptible to bruising.

Administrator stated the facility conducted an internal investigation. Administrator will obtain documentation and submit to CCLD by Tuesday, 09/21/2021. Based on the timing of the events, R1 cognitive impairments, and her history of swinging her arms it is impossible to determine whether or not the bruising was as a result of S2 holding onto R1’s arm during care.