Complaint Investigation Report

Regarding the allegation: Facility staff are not reporting all of resident's falls

During LPA's review of facility records for Resident 1 (R1), LPA found in the Care Notes that R1 had falls on 7/17/2022, 7/19/2022, 7/20/2022, and 7/28/2022. R1 was taken to the urgent care on 7/19/2022 and the hospital on 7/28/2022 by R1's family. Records indicate R1's family and physician were notified of these falls, however none of these falls were reported to Community Care Licensing (CCL). Therefore, this allegation is deemed substantiated at this time.

Pursuant to Title 22, California Code of Regulations, the following deficiency is cited (refer to LIC 9099-D).

Exit interview conducted, appeal rights discussed, and a copy of this report issued.