Complaint Investigation Report

Second allegation: Resident sustained an injury while in care. Regarding the allegation stated above, LPA conducted an interview with Resident #1 responsible party (RP), regarding the alleged allegation RP indicated to LPA that Resident #1 had unexplained bruise and a scrape on their right ankle. RP provided images of R#1 injury and indicated that R#1 is listed as non-ambulatory and requires assistance in transferring in and out of bed and dressing. LPA conducted an interview with Staff #1 who informed LPA that staff did not report R#1 injury and indicated that injury could have happened during the time staff was assisting R#1 with transfer.

Third allegation: Staff did not ensure resident was handled appropriately during a transfer. Regarding the allegation stated above, LPA conducted an interview with Resident #1 responsible party regarding the alleged allegation RP reported to LPA that Resident #1 Preplacement Appraisal listed under services that R#1 was listed as non-ambulatory and required help with transferring. RP reported that while Resident #1 was being transferred, staff did not handle R#1 appropriately which resulted in R#1 to sustain an unexplained injury to R1 right ankle. LPA conducted an interview with Staff #1 regarding the alleged allegation and Staff #1 informed LPA that injury could have happened during the time staff was assisting R#1 with transfer. Based on the evidence gathered during the investigation, the above allegations are Substantiated. A finding that the complaint is Substantiated means that the findings are valid because the preponderance of the evidence standard has been met. Title 22 Regulations, from division 6, chapter, article 6, is, cited on the attached LIC 9099 D.

An exit interview was conducted where this report, appeal rights, and LIC9099-D was discussed, and a copy of the report was provided to Facility Administrator Caroline Armstrong the conclusion of the visit.