It was alleged that on October 26^th 2025, Resident #1 (R1) disclosed that his/her hand was injured. R1 was unable to move it normally and experienced pain when attempting to do so. To investigate this allegation LPA conducted an interview with the Administrator and was informed that staff conduct regular resident checks and respond promptly to resident needs. The Administrator reported no incidents where staff failed to provide required care leading to resident injury. Two (2) staff members interviewed denied the above allegation and informed LPA that they did not witness any incident involving R1 injury caused by staff neglect. Both staff also reported that they are trained to assist residents safely and document required care appropriately. Furthermore, four (4) residents interviewed expressed no concern regarding this allegation. Residents stated that staff assist them appropriately, respond to calls and provide care as needed. No resident reported witnessing or experiencing neglect resulting in injury. During the initial and today’s facility tour, LPA observed residents resting, ambulating, and interacting with staff. Staff were observed providing care, supervision, and assistance appropriately. Based on interviews and LPA observations, there was not enough evidence to support the allegation that a resident sustained an injury due to staff neglect. Therefore, the allegation is Unsubstantiated, at this time.

Allegation: Staff did not provide medical attention to resident in a timely manner

It was alleged that on October 26^th 2025, Resident #1 (R1) disclosed that his/her hand was injured and no medical attention was provided. The Administrator denied the allegation and stated that staff follow facility protocols regarding medical attention. According to the Administrator, residents are assessed promptly and emergency services are contacted when needed. LPA was also informed that he received a text message from the “former staff” (FS) who observed R1’s left hand being swollen, however, R1 did not feel any pain, unless it was pressed. FS examined the rest of R1’s body and observed no other markings that may indicate injury. After applying ice to R1’s hand the swelling reduced and R1 did not complain of any pain. Both staff members interviewed denied the allegation. They stated that they have not witnessed any delays in providing medical attention to residents. Staff reported that they respond immediately when residents report discomfort, injuries, or medical concerns. Residents interviewed denied having experienced or observed any delays in receiving medical care. Residents reported that staff are responsive and check in regularly. LPA conducted review of incident report faxed to the Regional Office on 10/29/2025 at 9:41pm, which confirmed the statement provided by the Administrator. Therefore, based interviews and record reviews this allegation is deemed Unsubstantiated, at this time. Continue on LIC9099-C

It was alleged that on October 26^th 2025, Resident #1 (R1) disclosed that his/her hand was injured and the staff did not follow reporting requirements. To investigate this allegation, LPA conducted an interview with the Administrator and was informed that all required incident reports are submitted according to regulation. Both staff interviewed reported they are trained in reporting requirements and confirmed that the incident referenced in the complaint was communicated to management promptly and documented according to procedure. LPA conducted review of the incident report referenced in the complaint. The report was received by Community Care Licensing within the required timeframe (on 10/29/25 at 9:41pm). Documentation showed the report was submitted accurately and in accordance with Title 22 reporting requirements. Therefore, based on interviews and records review this allegation is deemed Unsubstantiated, at this time.

No deficiencies issued during today’s visit.

Exit interview conducted and copy of this report signed and delivered.