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- Duty To ProtectAbuse & neglect
Inspectors found that two residents had a physical altercation that resulted in one resident sustaining a skin injury. The home did not prevent this incident of physical harm between residents.
- Complaints Procedure — LicenseeReporting & complaints
The home received a written complaint about resident care but did not forward it to the Director as required by law.
- Reporting Certain Matters To DirectorReporting & complaints
Inspectors found that the home did not report suspected harm to a resident to the Director immediately. A resident was found to have two skin injuries of unknown cause within two days, but the home did not report these concerns to the Director until the following day.
- Reporting Certain Matters To DirectorReporting & complaints
The home did not report an incident involving two residents, in which one sustained a skin impairment, to the Director until two days after it occurred. Regulations require the home to report suspected abuse or neglect that results in harm or risk of harm to residents immediately.