Facility Evaluation Report

Licensing Program Analyst (LPA) Kimberly Lyman conducted an unannounced case management visit to follow up on incident reports received by the department on 06/23/2025 and 07/07/2025. LPA was greeted and granted entry into the facility and explained the reason for the visit.

SOC 341 dated 06/23/2025 indicated that Resident 1 (R1) had reported that a caregiver had yelled and pushed the resident. Garden Grove Police Department was called and police report #25032623 was provided. Facility conducted an internal investigation and closed the investigation based on interviews conducted. Per physician report dated 02/27/2025, R1 is diagnosed with Mild Cognitive Impairment. Facility to forward copies of internal interviews to LPA by close of business 07/14/2025.

Incident report dated 07/07/2025 indicated R2 had an un-witnessed fall leading to a fractured right hip. Resident stated getting up from the recliner and falling while attempting to get the resident's walker. Resident is currently admitted at Los Alamitos Hospital post surgery. Per facility notes, resident has had multiple prior falls resulting in no injuries to resident. Per service plan dated 03/10/2025, R2 is independent of escorting and uses a walker and/ or wheelchair. Physician report dated 09/03/2024 indicates resident is diagnosed with Generalized Weakness and Mild Cognitive Impairment.

Exit interview conducted and a copy of this report was left at the facility.