Complaint Investigation Report
LPA observed photo of R1’s bruise and prescription order to discontinue medication. LPA attempted to interview R1 and observed bedrails. On 05/10/25, LPA Cloyd received Nurse Practitioner notes dated 04/07/25 from MedWell Medical. On 06/04/25, LPA reviewed Community Care Licensing (CCL) Clinical Consultant’s Report on R1’s medical documents.
Regarding the allegation, “Staff physically abused resident while in care,” it is being alleged that Resident #1 (R1) sustained bruises across R1’s rib cage and hip. Record review of CCL Clinical Consultant’s Report revealed R1 was prescribed medication for an old diagnosis and that medication can cause bruising. R1 has left upper chest wall bruising towards the abdominal area, radiating to the bilateral flank area (MedWell Nurse Practitioner’s notes 04/07/25 and Los Alamitos Medical Center 04/15/25). Record review of R1’s prescription order revealed that the medication was discontinued on 04/10/25. Four out of four staff (S1 – S4) interviews denied the allegation. Staff (S1 – S3) indicated that R1 tries to get out of bed and could have obtained the bruises from the half bed rail. Interview with W1, R1’s son-in-law, indicated that the physician assistant said the bruises could have appeared from R1’s internal bleeding. Interview with R2 – R3 indicated that they like the quality of care and have not been physically abused while in care. Two out of three witnesses (W2-W4) indicated that their family member hasn’t sustained a bruise due to physical abuse.
Regarding the allegation, “Staff physically abused resident while in care,” based on record reviews, interviews, and observations, the Department found no evidence to support the allegation mentioned above. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation is unsubstantiated.
An exit interview was conducted and a copy of this report was provided to the Administrator Assistant Edgar Yraheta .
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction