Complaint·March 9, 2023

(Cont forn 9099) Due to neglect/lack of Care and Supervision, resident developed multiple pressure Injuries while in care. It was alleged that due to neglect/lack of care and supervision, resident developed multiple pressure Injuries while in care. To investigate the allegation interviews were conducted with administrator on 07/19/2022, including telephone interviews with administrator on approximately 11/07/22, 03/01/23 and 03/07/23. Documents relevant to the investigation were obtained and reviewed. Telephone interviews also conducted with witness relevant to investigation on 02/15/23. Interview with administrator revealed R1 was assessed upon arrival and any bruising/wound was documented on assessment form on admission.. Administrator also revealed was informed by R1 family that R1 had previously sustained fractures and multiply falls while living at home and in other facility. Interview with witness relevant to investigation revealed that R1 sustained several falls with significant bruising and fall on approximately 05/30/22 resulted in fractures. According to witness paramedics were called to R1s home and R1 was not fully healed due to other health conditions of R1. Review of would assessment document and photos reveal location of shunt and bruising’s on R1s body. The assessment and photos also show 1 (one) small wound on buttocks. Interview with R1 reveal staff treats them fair and do not neglect or mistreat them. R1 revealed they are taken to doctor appointments and they are doing fine at the facility. Based on interviews and documents obtained during this and previous licensing visits there is insufficient pertinent information to support the allegation. Therefore, the allegation is UNSUBSTANTIATED at this time.