Complaint Investigation Report

The investigation revealed the following:

Allegation: Resident sustained multiple unexplained bruises

On 1/28/25, the department reviewed facility records. Per incident report sent to the facility on 12/24/2024, on 12/23/2024 staff 6 (S6) found bruising on right and left arm of resident 1(R1). Incident reported also noted that R1 was taken out of the facility on 12/18/2024 and 12/21/2024 and that no bruises were noted at the time of departure. R1 denied any injuries or trauma when asked by facility staff. On 1/29/2025 the department requested a list of R1’s medications. R1’s current medications include Brimonidine Tartrate Ophthalmic Solution, which has a side effect of bruising and unusual bleeding.

On 1/29/2025 the department interviewed to Administrator Susie Fuentes, who stated that she observed a family member hurrying R1 along as they walked out the door. Per administrator, R1 walks slowly, so family member was pulling her out of the door by her wrists. On 2/13/2025 the department spoke with witness 1 (W1) who stated R1 told them someone at the facility was yanking on them and squeezing on their wrist. On 1/29/25, the department interviewed R1. During the interview, LPA Shirley noted bruises on both of R1’s arms, which appeared to be healing. During interview on 1/29/2025 R1 stated that she did not know who caused the bruises on her wrists. On 1/29/2025 the department interviewed Staff 1 - Staff 5, (S1-S5). LPA asked staff if any of the residents had bruises on their arms. Of those interviewed, 2 out of 5 stated yes, and 3 answered no. on 1/29/2025 the department interviewed resident 1 - resident 8 (R1-R8). The department asked residents if they had any bruises. Of those interviewed, 6 out of 8 answered no, and 2 did not answer the question. 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 .

There were no deficiencies cited during this visit.

LPA Shirley conducted an exit interview and a copy of this report was signed by the Administrator, Susie Fuentes.