Sequoia Vista

had wounds.During a concurrent observation and interview on 11/14/25 at 2:19 p.m. with ADON, in Resident 1's room, Resident 1 was lying on the bed and had a cut under his left eye, bruising to his left cheek and scabs to the left side of his nose and under his left eyebrow. ADON stated the day after the altercation with Resident 2, she had observed a cut under Resident 1's left eye but was unaware of the bruising and the scabs. ADON stated when she noticed the cut she spoke to Resident 1's nurse and the nurse said the cut was there prior to the altercation. ADON stated that when the cut, bruising and scabbing were identified a change of condition should have been made to notify the physician to obtain treatment orders, the RP should have been notified and the areas monitored.During a concurrent interview and record review on 11/14/25 at 2:25 p.m. with ADON, Resident 1's clinical record was reviewed. ADON was unable to provide documentation of any assessment, treatment, monitoring and notification to the physician and RP being done.During a review of the facility's policy and procedure (P&P) titled, Notification of Changes dated 3/2025, the P&P indicated, The facility must inform the resident, consult with the resident' s physician and/or notify the resident's family member or legal representative when there is a change requiring such notification.accidents.potential to require physician intervention.circumstances that require a need to alter treatment.

This may include.new treatment.During a review of the facility's policy and procedure (P&P) titled, Skin assessment dated 3/25, the P&P indicated, The assessment may also be performed after a change of condition or after any newly identified pressure injury.

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