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13 | Licensing Program Analysts (LPAs) Kimberly Lyman and Joseph Alejandre conducted an unannounced complaint visit to continue the investigation into the above allegation. LPAs were greeted and granted entry into the facility and explained the reason for the visit.
During the investigation, the department toured the facility and interviewed staff and residents as well as reviewed and obtained pertinent documentation such as physician reports. Regarding the allegation that staff did not prevent resident from pushing another resident, the investigation revealed the following: On 04/13/2024, Resident 1 (R1) was being escorted back to the resident's room when R2 entered the room and became agitated. R2 pushed R1 and R1 fell and hit the head. R1 was transported to the hospital via 911 and returned with no new findings. Both residents are diagnosed with Dementia and denied the altercation occurred. Staff interviewed confirmed being present when the altercation occurred. Based on interviews conducted and records reviewed, LPA is unable to corroborate the allegation. Therefore the allegation is deemed UNSUBSTANTIATED meaning although the allegation may have happened or are valid, there is not a preponderance of the evidence to prove the alleged violation occurred.
An exit interview was conducted and a copy of this report was provided to Administrator. |