Facility Evaluation Report

Licensing Program Analyst (LPA) Tuesday Cabiness conducted a case management in conjunction with the complaint investigation to address issues related to the complaint (control #: 31-AS-20200109083157). During the investigation, conducted by the department’s Investigative Bureau (IB) and LPA it was reported through incident reports and facility documents, that R1 had two unwitnessed falls in which R1 sustained multiple bruises, a skin tear, and forehead contusion. From one of those falls, staff left R1 unattended on the floor for a period of time and did not seek medical attention nor notify R1’s responsible party in a timely manner. These are potential health and safety risks to residents in care.

Under Title 22, Division 6, Chapter 8, following deficiencies were cited and recorded on LIC 809 D.

Exit interview conducted. A copy of the report was issued. Appeal rights provided.