Complaint Investigation Report

Later in the day around noon, R1 received a visit from family who made some concerning observations including facial drooping and R1 being in a wheelchair. The family member requested R1 be sent to the hospital and that’s when the facility arranged for R1 to be sent to the hospital for a medical evaluation.

Staff 1 (S1) admitted R1 should have been evaluated and sent out based on the residents change in condition observed by S3.

Based on the evidence gathered through interviews, and document review the preponderance of evidence standard has been met, therefore, the above allegation is found to be SUBSTANTIATED. Violations are being cited per California Code of Regulations Title 22, Division 6, Chapter 1.

An exit interview was conducted and a copy of this report and appeal rights were provided.