complaint·September 5, 2024

This information reveal that, at admission to the facility, although R1 required a mechanical diet, R1 was able to feed self. In addition, R1’s post discharge papers from the rehabilitation center where R1 came from was also obtained. It indicates R1 can feed self and no longer requires services from the rehabilitation center, resulting in R1 being discharged to an assisted living. Moreover, this allegation held trial. R1’s family had to settle based on their attorney’s advice that “it was in the court’s opinion that the facility staff did all they possibly could have to prevent R1 from choking. Based on the information obtained, there wasn’t enough evidence to prove that R1 choked on food due to lack of supervision. Therefore, the allegation is deemed Unsubstantiated at this time. Resident developed a UTI while in care: In regards to the allegation, the initial investigation was made by LPA Alex Pitz on 02/10/22. Based on LPA Pitz’s interviews and record review, the allegation was Substantiated at that time. A further review of this allegation was made. Based on that review, there was no substantiative evidence available with regards to the allegation involving R1 developing UTI to prove the facility is at fault. Therefore, the allegation is changed to Unsubstantiated. RCD advised and a copy of this report issued.