Complaint Investigation Report

CONTINUED...During the course of the investigation, the investigation revealed the following: Resident 1(R1) was admitted to the facility on 9/30/2017. (R1s) Physician report dated 11/10/2020 indicates primary diagnose as Parkinson’s disease and secondary diagnose as Progressive Supranuclear Disease (PSP). PSP is a condition that causes symptoms similar to those of Parkinson's disease involving damage to many cells of the brain including the part of the brainstem where cells that control eye movement are located and the area of the brain that controls steadiness when you walk is also affected.

On 12/8/2020 while conducting 10 day visit, interviewee indicated that (R1) was noted to be wheelchair dependent stating “Staff have reported observing (R1) trying to get out of their wheelchair and confused and disoriented.” Documentation review of physician report dated 11/10/2020 indicates (R1) to be wheel chair dependent and confused and disoriented. Three of five staff interviewed indicated not knowing or meeting (R1) due to recent employment with the facility.

Ten of ten interviewees consisting of staff, residents and other witnesses indicated staff speak appropriately to residents in care as evidenced by treating residents with dignity and respect.

The department has investigated the allegations listed above.

Therefore based on the preponderance of evidence gathered through interviews conducted, documentation review and observations conducted by LPA Quiroz, the allegations that the “Resident was inappropriately pushed while in care,” “Residents sustained unexplained injuries while in care,” “Staff speak inappropriately towards a resident while in care” and “Residents sustains multiple falls while in care” were found to be UNSUBSTANTIATED, meaning that although the allegations may have happened or are valid, there is not a preponderance of the evidence to prove that the alleged violations occurred.

An exit interview was conducted with Business Office Manager Patricia Jimenez and a copy of this report, along with LIC 811- Confidential Names were provided at exit.