Allegation: Neglect/Lack of Care: The department conducted interviews with staff, residents and reviewed records concluded that Facility staff failed to provide appropriate care resulting in resident R1 sustaining multiple injuries/bruises to be Unsubstantiated. on 03/06/2022, R1 was seen at the Oroville Hospital for a chief complaint of confusion. Hospital records show that R1 sustained a fractured right hip, chest wall hematoma, bruises on her body, and bilateral pleural effusion. Doctor 1 (D1), Oroville Hospital Orthopedic, was interviewed. He stated the cause of R1's hip fracture could have been a seated fall. He explained that minor traumas can cause this type of fracture in elderly individuals. D1 said R1 sustained the fracture within weeks of being sent to the hospital. Doctor 2 (D2), Oroville Hospital Physician, said the cause of R1s bruises, as well as when they were sustained, was unknown. D2 said that since R1 was on blood thinner medication, minor traumas could cause minor bruises, which could become larger bruises due to R1's fragile skin. D2 stated it is not typical for the COVID-19 vaccine to cause bruising. D2 said bilateral pleural effusion can be caused by various aspects such as an infection, swelling in the body, or pneumonia. Some patients may not display any signs/symptoms, while others may have shortness of breath or chest pain. R1 died prior to being interviewed due to cardiopulmonary arrest. Facility residents were interviewed, and they denied seeing R1 sustain a fall or get hurt. Facility residents did not report any serious concerns of mistreatment. Facility staff were interviewed, and they denied that R1 sustained any falls, accidents, or traumas contributing to her injuries. They denied that R1 was taken care of in a rough manner or mistreated by staff. They denied knowing how R1 sustained a hip fracture. Licensee reported that R1 indicated she was in pain when she was transferred from her bed to her wheelchair on the morning of 03/06/2022 and R1 indicated she was in pain when she was transferred to the gurney for transportation to the hospital. Staff reported R1 sustained a chest hematoma shortly after receiving her COVID-19 booster vaccination. Staff reported that R1 was prone to bruises due to her blood thinner medication. Staff reported that they did not observe any changes in R1s condition prior to her hospitalization indicating she had fluid in her lungs.

The preponderance of evidence standard has not been met. The allegations are Unsubstantiated.