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It was alleged an incident occurred between 2/23/2018-2/26/2018 where staff (S1) restrained resident (R1) which resulted in R1 sustaining a broken arm.
On 8/5/2025, the Department interviewed Administrator (ADM1) Sashi Kumar. ADM1 stated the facility has new staff that were not working at the facility during the time of time frame of 2/23/2018-2/26/2018 including herself.
On 8/18/2025, the Department interviewed Administrator (ADM2) Fredricka Safar. ADM2 stated they no longer had the files for resident (R1) due to R1 moving out of the facility on 07/21/2025. ADM2 stated on 2/22/2018, R1 slipped and fell on the floor of the facility which resulted R1 hitting the arm on the floor. ADM2 stated she took R1 to the ER and R1’s responsible party was present at the ER. ADM2 stated the facility staff, including S1 did not restrain the resident and there was no physical altercation with other residents or staff.
Based on review of Special Incident Report dated 2/23/2018, on 2/22/2018, R1 got up without holding the walker and fell down on the hardwood floor. Per report, ADM2, Staff S2 and Staff S3 were present at the facility during the incident. Per report, ADM2 checked R1’s body and observed no bruises but R1 was stated R1’s hand was hurting. Facility staff took R1 to the Emergency Room where he was diagnosed with a fracture. Per report, R1 was to wear a cast for 1 week.
Based on review of Day program notes from 2/23/20218 and 2/26/20218, R1’s pictures were attached with report which show R1 wearing a cast and R1 sustaining bruises on the forearm.
Based on review of hospital notes from 2/22/20218 through 3/1/20218, R1 was presented at the Emergency Room with increasing swelling and bruising related to a fall on right shoulder and R1 was placed in a shoulder brace. The notes do not mention the hospital staff having any concerns of foul play or abuse related to resident’s fall on 2/22/2018.
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