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32 | On 6/14/2024, LPA interviewed Executive Director (ED) Shantela Yadao. ED stated on 6/4/2024 early morning, he/she received a notice from staff regarding the incident between residents R1 and R2. ED stated based on the review of the surveillance camera footage, on 6/4/2024, around 7:30AM, residents R1 and R2 were walking at the hallway of the memory care unit and R1 blocked R2. R2 tried to walk around but R1 grabbed R2. R2 pushed R1 away and R1 fell on the ground. ED stated staff helped R1 to get up and called 911, and. R1 was sent to hospital. ED stated R2 is not an aggressive person. ED stated this is first incident between R1 and R2.
On 6/14/2024, 12/23/2024 and 12/27/2024, LPA interviewed Director of Memory Care (DMC). DMC stated an incident occurred on 6/4/2024 early morning, after breakfast, between residents R1 and R2 at the hallway of memory care unit. DMC stated R1 grabbed R2 and R2 pushed R1 away. R1 fell on the ground, 911 was called and R1 was sent to hospital. DMC stated R1 returned to the facility from hospital on the same day. DMC stated after the incident, the facility requested both R1 and R2's families to hire private companion for R1 and R2. DMC stated R2 is a friendly person and not aggressive.
On 6/14/2024 and 12/27/2024, LPA interviewed staff S1. S1 stated the incident occurred on 6/4/2025, early morning, after breakfast. S1 stated he/she was busy helping residents in memory care unit and all the staff in memory care unit were helping residents to be ready to transferred from memory care unit to activity room.
S1 stated all residents were waiting to transfer to activity room. S1 stated he/She heard radio announced that a resident fell on the floor of the hallway in the memory care unit and asked staff to help immediately S1 stated he/she went to on site to help resident R1 immediately and called LVN and 911. S1 stated R1 was sent to hospital immediately.
On 12/27/2024, LPA interviewed Director of Resident Service (DRS). DRS stated on 6/4/2024, around 7:30AM, staff were busy helping memory care resident to move to activity room, and resident were waiting to transfer to activity room. DRS stated resident R1 and R2 were walking in the hallway of the memory care unit. DRS stated suddenly R1 grabbed R2 when R1 and R2 passed each other. R2 pushed R1 away and R1 fell. DRS stated staff called 911 and R1 was sent to hospital.
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