complaint·October 10, 2023

ALLEGATION: Resident sustained an unexplained fracture while in care. Based on records reviewed and interviews, R1 has a diagnosis of osteoporosis. On 3/24/23, R1 went to the hospital and was diagnosed with a fifth lumbar vertebra compression fracture which was related to osteopenia. Based on interviews and records review, there is no indication that R1 sustained a fall at the facility resulting in the injury listed above. A review of the medical records indicated that R1’s fracture resulted from medical decline, not trauma or lack of care and supervision by facility. Based on records reviewed it was concluded that compression fractures occurred due to R1’s osteoporosis and fragile bones, therefore the allegation is UNFOUNDED. A finding of unfounded means that the allegation is false, could not have happened and/or is without a reasonable basis. ALLEGATION: Facility modified a contract without notifying resident's responsible party Based on records reviewed and interviews conducted on 8/16/23 and 9/19/23, there is no evidence of Admission Agreements being changed without notifying residents responsible parties, therefore the allegation is UNFOUNDED. A finding of unfounded means that the allegation is false, could not have happened and/or is without a reasonable basis. ALLEGATION: Facility did not give a copy of the contract to resident's responsible party. Based on records reviewed and interviews conducted, R1s responsible party did receive an Admission Agreement. The Department observed a signed contract between the responsible party and the facility. Further, the Department was notified by the responsible party that they may have misplaced the Admission Agreement. Therefore, the allegation is UNFOUNDED. A finding of unfounded means that the allegation is false, could not have happened and/or is without a reasonable basis. ALLEGATION: Facility staff did not keep a doorway free of obstruction. Based on facility observation on 8/16/23 and 9/19/23 there was no sign of any doorway being obstructed by anything. Therefore, the allegation is UNFOUNDED. A finding of unfounded means that the allegation is false, could not have happened and/or is without a reasonable basis. ALLEGATION: Facility staff did not safeguard resident's personal items. Regarding safeguarding residents’ belongings this allegation was regarding clothing items and hearing aids. All residents interviewed on 9/19/23 said they always get their own clothes back when laundry is done. If something is missing, there is a certain place where clothes are kept so that residents can look for their lost items. Staff verified that this is the case. Additionally, upon verifying the safeguards form, there were no hearing aids listed on R1’s LIC621, therefore, the allegation is UNFOUNDED. A finding of unfounded means that the allegation is false, could not have happened and/or is without a reasonable basis. Exit interview conducted. Copy left with facility Administrator.