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32 | Per Oakmont of Huntington Beach Resident Care Notes for R1, staff noted on 11/30/2021 staff called 911 Emergency services and R1 was transported to Orange Coast Memorial Medical Center and was discharged back to facility same day. On 12/1/2021 at approximately 6:30 am, Staff 1 (S1), found R1 to be sitting on the floor next to their bed and noted to be in no pain. A couple hours later at approximately 8:30 am, S1 discovered R1 sitting on their bathroom floor with pain upon movement in which staff called 911. Per investigation interviews and resident care notes R1’s family was contacted and R1 was transported to Orange Coast Memorial Medical Center. R1 was discharged back to facility same day with hard cast on left hand as indicated by Oakmont Resident care notes dated on 12/01/2021. R1 had a soft cast from a previous visit (on 11/30/2021) in which staff observed R1 become agitated and remove the soft cast. During the process, R1 lost their balance which was cause for R1’s Physician to place a hard cast on R1 as indicated in interviews with staff 1 and Staff 2.
Staff interviews reported that they began checking on R1 every 30 to 45 minutes to ensure that R1 was not on floor or attempting to leave their bed unassisted. During R1’s hospitalization at Orange Coast Memorial Medical Center dated 12/01/2021 the Emergency Room attending Physician consulted with R1’s Primary Care Physician (PCP) in recommending that R1 be admitted to a skilled nursing facility to obtain level of care needed. R1’s family declined recommendation and requested that R1 be sent back to facility. Upon return to the facility, the facility provided a 1:1 caregiver for R1 until R1’s family could find a private caregiver. Executive Director stated that Family of R1 found a private care companion to stay with R1 to keep R1 from wandering and reduce risk of falls. It was reported that facility Care staff continues to check in on R1 every 2 to 4 hours and provides services. 6 out of 6 staff interviewed confirmed that R1 was doing better with private care companion who is providing 1:1 24 hour care to R1. Since care companion has been with R1, staff have stated that no recent falls have been reported. R1’s family stated they are satisfied with the care and services the facility is providing R1.
Facility reported to family incidents, falls and provided medical treatment when necessary. In addition, Oakmont staff reported concerns to Medical professional informing Physician of R1’s status. Therefore based on interviews conducted and documents reviewed, the Department has found that the allegations to be UNSUBSTANTIATED meaning although the allegation may have happened or is valid, there is no preponderance of evidence to prove the alleged violation did or did not occur.
An exit interview was conducted with Administrator and a copy of this report along with copy of LIC 811 was left at facility.
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