complaint·September 7, 2022

According to the documents R1 did sustain a fall in their room, but it was not due to facility’s negligence. Staff observed R1 on the floor in their room during a routine afternoon shift. Facility immediately contacted paramedics to transport R1 to the hospital for an assessment. Based on the information obtained through interviews and documentation review this allegation is deemed Unsubstantiated. Allegation #2 Staff did not ensure resident was provided with appropriate footwear. It is alleged that facility did not provide R1 appropriate footwear. To investigate this allegation LPA Martinez conducted interviews with staff and administrator. On 04/18/22 LPA obtained and reviewed documents such as R1 physician report, R1’s Needs and Service Plan, R1’s Serious Incident Report, and R1’s Care Plan. On 05/12/22 LPA Martinez conducted a collateral visit to interview R1 at the rehab facility that R1 is residing in. Interview with S3 revealed that R1’s only request for footwear were non-slip socks. LPA obtained receipt of purchase for the non-slip socks that were provided to R1. Document review revealed that R1 did not have any physician note for any type of special footwear to be worn. Interview with R1 revealed that it was unclear what type of footwear R1 needed to wear. Based on interviews and documentation review this allegation is deemed Unsubstantiated. Exit interview conducted. Report signed and delivered.