complaint·September 30, 2022

...continued from LIC9099 S2 and S3 both began knocking on the bathroom door advising R1 not to pull at finger. S6 heard the knocking and opened the door. Since S2 was working at the front desk, S4 was called to takeover. S4 observed R1’s finger was bluish in color. S4 applied ice, elevated and immobilized left hand, and noted R1 was in pain. S4 called 911, notified POA and PMD. R1 went to the emergency room and was treated for a contusion on the left middle finger with no new orders. Facility doctor assessed R1 upon return and prescribed Tylenol 500 mg every 4 hours for pain management. Based on R1’s Comprehensive and Assessment Plan dated 01/06/2022, no 1:1 care was needed. Interviews with S3 and S5 further revealed that R1 is verbal, and on 03/03/22 R1’s Responsible Party, S1 and the Director of Resident and Family Services (DRFS) met regarding the care and monitoring of R1. S1 agreed that the facility staff will remind, redirect and cue R1 every two hours as needed. S1 will also provide nursing notes to the family as incidents arise Although the allegations may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did occur, therefore the allegation is UNSUBSTANTIATED . Exit interview conducted. A copy of this report provided to Jeff Emoruwa,