Complaint Investigation Report

Allegation #1: Resident sustained unexplained bruising while in care.

The details of the complaint alleged resident #1 (R1) had sustained unexplained bruising while in care at this facility. (R1) was found with suspicious bruises. The report did not provide any further details.

Investigation revealed resident #1 (R1) was admitted at Carson Senior Assisted Living (CSAL) on 08/20/21 according to Identification and Emergency Information (dated: 08/20/21). (R1) voluntarily terminated residency from (CSAL) on 06/30/24. Physician’s Report (dated: 03/27/24) and Preplacement Appraisal Information (date: 08/17/21) identified (R1) can self-care is independent and requires assistance only with dispensing medications. Records indicated (R1) had no history of skin condition or breakdown.

On 06/06/24 at 05:30 pm, (R1) was hospitalized at Harbor UCLA Medical Center (HUCLAMC) due to abdominal pain on the left side and general weakness per Incident Report LIC (dated: 06/06/24). (HUCLAMC) medical records (date: 06/08/24) revealed (R1) was treated for UTI/Pyelo with possible colitis.

On 08/13/24 between 10:10 am - 02:45 pm, the Department interviewed (4) out of (4) staff #1-#4 (S1-S4) who reported knowing a bruise on (R1’s) left hand/wrist. (S1-S4) explained they were aware of the bruised hand/wrist as it was documented by (S3) on the facility’s Body Assessment Chart (dated: 06/29/24). Written remarks indicated (R1) was showered. No scratches the body is clear and clean. Bruise on left hand indicated by (S3) on 06/29/24. (S1-S4) described (R1) is diagnosed with mental deterioration but is independent and can self-care. (R1) was not on home health or hospice care. (S1-S4) claimed that (R1) is non-ambulatory and requires assistance with assistive devices. (S1-S4) stated that (R1) was not on any required medical restraint while in care. (R1) had no accidents or falls or physical wrangles. As being independent (R1), to have minimal social interactions with other residents or staff. Interactions were defined with family representatives who came to visit or take (R1) out in the community. (S1) was being examined monthly by (R1’s) internal primary physician. SeniorDoc Medical Notes (dated: 06/26/24) verified (R1) was examined and no signs of falls, wounds, bruises, or skin breakdowns in the last six months.

(Evaluation Report continues on LIC 9099-C)