complaint·February 5, 2025

The Department interviewed residents (R1, R2, R3), staff (S1, S2, S3 and administrator) and reporting party (RP) on 9/12/23. The Nurse Practitioner (NP) was also interviewed on 9/13/23 and medical records were reviewed. R1 stated he needs assistance in transferring. R1 denied ever being abused and falling or getting injured while at the facility. R1 also denied having fracture and stated had only fractured his ribs when shot while serving in the military. The other 2 residents made no disclosures of ever being hurt and mistreated at the facility, having any complaints about the facility staff, and stated never seen any other residents get hurt or mistreated while at the facility. The four facility staff reported they did not know R1 had fractured ribs or how R1 could have sustained the injuries. They denied R1 ever falling at the facility. They stated R1 requires two person assistance during transfers, and that staff would pick R1 up from underneath R1’s armpits. Reporting Party (RP) and Nurse Practitioner (NP) both stated they did not know if the injuries R1 sustained are old or new. NP stated the medical records showed the injuries to be sub-acute but not sure, and stated the injuries could be due to infiltration. Review of medical records showed a right 2nd to 6th rib fractures. Previously, only right 4th and 5th rib fractures were seen. The fractures were noted to be “acute/subacute” fractures. Based on interviews and records review, the allegation is unsubstantiated. A finding that a complaint is unsubstantiated means that although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred. No deficiency cited. Exit interview conducted and copy of this report provided.