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32 | Cont. from LIC 9099
Resident sustained a fracture due to staff neglect
It was alleged that on 11/20/25, Resident #1 (R1) woke up screaming with a swollen arm. Staff interviews consistently denied knowledge of any fall or incident involving R1 at the facility. Staff (S1) reported that when swelling was observed on R1’s left elbow, the condition was immediately reported to management and R1’s Power of Attorney (POA). Facility staff reported observing swelling to R1’s left elbow and taking appropriate reporting actions. Interview with Resident #2 (R2), who was a spouse of R1 revealed that R1 did not experience a fall or other incidents within the facility. R2 reported that R1 had a previous shoulder injury and had been scheduled for shoulder replacement surgery on 09/24/24 but declined the procedure. During interviews with other residents indicated no concerns about staff care or supervision. No environmental hazards or immediate safety concerns were observed during the visit related to this allegation. Incident report and facility record were reviewed. Records did not indicate that R2 sustained a fracture as a result of an incident occurring in the facility.
Based on interviews, observation and record review there is insufficient evidence to confirm the validity of the allegation. Therefore, the allegation is deemed UNSUBSTANTIATED at this time.
Staff did not seek medical attention to resident in a timely manner
It was alleged that staff failed to obtain timely medical care for R1 following a fracture. Information received indicated that during surgery, medical staff suggested the fracture could have occurred approximately two weeks to one month prior. Staff interviews indicated that upon receiving a report of R1’s injury, emergency services were contacted and pain medication was provided as requested by the POA. Interview with resident #2 (R2) revealed that staff provided care and acted appropriately. Staff and residents’ statements were consistent that an ambulance was called, and follow-up actions were taken in timely manner. No information and/or evidence was available indicating delay in emergency responses, once staff identified the need for medical attention. A review of available records supported staff actions seeking medical evaluation after assessing R1 and observing concerning symptoms.
Based on interviews and record review, there is insufficient evidence to verify the allegation. Therefore, the allegation is UNSUBSTANTIATED at this time.
No immediate health and safety issues were observed during this visit. Exit interview was conducted and a copy of report was issued.
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