Complaint·January 13, 2021

Staff interviews revealed that, during the period of 5/13/2020 through 5/16/2020, facility staff conducted wellness checks each day for R1 when R1 did not push the button to notify staff that R1 was okay. Facility staff knocked on R1’s door and when R1 did not respond, facility staff entered R1’s apartment. On each day of the wellness checks, facility staff reported that R1 was in the bathroom and reported being okay. On 5/16/2020 at approximately 7:30PM, R1’s family contacted the facility to request a wellness check as family was unable to reach R1. At this time, S1 found R1 lying on the bathroom floor, unclothed and in urine. S1 observed bruising to R1’s back and lower buttocks and 911 was called. Per resident records, R1 reported walking the previous day. Based on interviews conducted with staff and review of records, it could not be determined how long R1 was on the floor. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation: R1 was on the floor for an extended period of time is UNSUBSTANTIATED. No deficiencies issued during this inspection. An exit interview was conducted with ED. A copy of this report was discussed and provided to ED via email and an electronic read receipt confirms receiving this document. Facility representative signature on file.