Complaint Investigation Report, 04/29/2025 — Loma Clara Senior Living, Morgan Hill CA

They couldn’t prove it. There wasn’t any action plan the facility covered with RP. They said they didn’t really think it happened and supposedly they were keeping eye on them, don’t know if R1 was following R2 around. After the incident on 08/09, they met with them that Saturday morning and Maria (former memory care director) said it was really odd that it happened.

LPA Kabariti (Christine Dolores) interviewed staff members. According to ED, there was an incident that occurred between R1 and R2. Both residents are in memory care. There was a caregiver (S3), who saw them walking in the memory care's courtyard. There are windows to the courtyard and the caregiver clearly saw both residents. Both residents are ambulatory and independent. When R1 and R2 met at a crossing path, they don't know exactly what happened between them and what was said, but according to S3, R1 pushed R2 and R2 fell into the bush and ended up sideways from the walking path. LPA Donato was able to interview S3. S3 shared that he/she saw R1 push R2 so he/she ran to keep them away from each other.

Based on records review, in one of the entries in the progress notes, the former memory care director had a meeting with family members on 8/10/2024 to go over the service plan regarding the incident that happened.

Regarding the allegation of Staff did not ensure resident was adequately fed resulting in weight loss, RP stated that in the process of moving R1, RP learned he's lost 8 lbs. The reason R1 is in the facility is because R1 wasn't eating well at home and was only drinking calories so if anything, R1 should have gained weight with regular meals.

According to interviews, ED said that there were no concerns regarding R1s weight. R1 did a lot of walking and had a personal trainer that come here every week. Personal trainer was to keep him active. R1 was able to articulate and verbalize what he/she wanted. ED didn't notice he was losing weight. ED added that R1 verbalizes what he/she wants. If R1 needs more food, he/she asks for it.