Complaint Investigation Report

The investigation revealed of the following: Allegation#1 " Resident sustained an unexplained fracture while in care. " It's alleged that client went to the ER and complained of right foot pain and x-ray show it was a displaced fracture. LPA interviewed staff and it was reported client#1 (C1) twisted the ankle when C1 went to the bathroom and back to the bed and nurse immediately went to C1's room and checked on the C1 and saw C1's right food/ankle was swelling and in pain. The nurse called the ambulance and transported C1 to the hospital. LPA interviewed nine clients and nine out of nine clients and denied the allegation and reported they would able to get medical assistance or help in the facility when they were sick or not feeling well. LPA interviewed staff and all denied the allegation and reported they followed the protocol and staff would always ask client if they want to send to the hospital for further evaluation if they do not feel well.

Allegation#2 "Illegal Eviction" It's alleged that the hospital called the facility and administrator refused to take the client back. LPA interviewed the administrator and stated first of all, the facility had never given any eviction notice to client#1 (C1) or refused to take C1 back to the facility. Administrator stated due to C1's recent admission to the hospital and became non-ambulatory for temporary and facility only licensed for ambulatory clients. Administrator contacted C1's primary physician and indicated C1 required higher level of care for the current medical status. Therefore, C1 was sent to Skilled Nursing Facility for rehabilitation and C1 will be back to the facility when C1 is fully recovered. LPA interviewed clients and denied the allegation. The facility never gave any eviction notice to clients without a reason. LPA interviewed staff and denied the allegation and stated that the facility hasn't give out eviction notice to clients for a long time.

Based on the record reviewed and interviews conducted with staff and clients, 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 allegations are UNSUBSTANTIATED .

Exit interview held. A copy of the report was provided to Administrator Gil Martinez.