Complaint Investigation Report

Allegation: Resident sustained unexplained injury while in care. It is alleged that several days ago resident (R1) woke up with burns on their chest and back. It was reported that the injury area bled and is now a scab. A total of seven (7) staff were interviewed of which all denied knowledge of R1's alleged burn injuries and/or reports by R1 of alleged injury/scabs. LPA and staff (S1) conducted an upper body check assessment during today's visit. It was observed that resident (R1) has one (1) quarter size red mark area with 3 dots in the left upper chest area, as well another red mark area located in the back shoulder/arm area that had 12 small old bloody dots. The affected areas showed signs of a bug/spider bite. Resident (R1's) housekeeper was interviewed, and stated that there are no current bed bugs in the resident's room, but has observed spider webs in the upper ceiling area. A total of 11 residents were interviewed. Three (3) out of the 11 residents stated they have been injured or have heard of residents being injured by other residents. For example, one (1) resident stated they have heard that a resident was pushed down the stairs, and another resident reported that approximately 2 months ago they were hit in the back of the head by another resident while walking in the facility hallways. Based on record review, R1 has history of impaired insight and hallucinations, and during today's body check assessment and interview the resident stated that the affected injury area is due to a burn. Based on observation, there is insufficient evidence to prove the affected area injury was caused by a burn.

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 allegation is Unsubstantiated .

Exit interview was conducted with Med-Tech Supervisor Julia Elias . A copy of the report was issued.