complaint·May 17, 2023

PAGE 2 Facility failed to inform responsible party of a fall On 5/20/2022, the Department received a complaint regarding the facilities failure to inform responsible party of a fall. It was reported that Resident #1 (R1) had fallen on 4/20/2022 and received a cold pack for wrist pain on the morning of 4/20/2022. R1’s responsible party (RP) arrived at the facility at around 11:00 am at which time they were notified of the incident. R1 did not show any signs of further injury and staff continued to monitor for any changes. Medical records revealed that the RP reported on 4/27/2022 that R1 had two falls at the facility on 4/20/2022 and that evening or following morning on 4/21/2022. It was noted that the RP disclosed that R1 had some swelling, but a cold compress was placed on their wrist and was better with no complaints of pain. At this time RP was aware of the falls and therefore contradicts reports of not being notified. Based on the information obtained, while this may or may not have happened the Department does not have sufficient evidence to support the above allegations. Therefore, the above allegations are deemed Unsubstantiated at this time. Failure to seek timely medical attention On 5/20/2022, the Department received a complaint regarding the facilities failure to seek timely medical attention. It was reported to that Resident #1 (R1) had stumbled and received a cold pack for wrist pain on the morning of 4/20/2022. R1’s responsible party (RP) arrived at the facility at around 11:00 am at which time they were notified of the incident. R1 did not show any signs of further injury and staff continued to monitor for any changes. Medical records revealed that the RP reported on 4/27/2022 that R1 had two falls at the facility on 4/20/2022 and that evening or following morning on 4/21/2022. It was noted that the RP disclosed that R1 had some swelling, but a cold compress was placed on their wrist and was better with no complaints of pain. On 4/29/22 a registered nurse visited R1 at which time it was not noted that R1 had a fracture and R! had no complaints of pain. On 5/3/2022 R1 was sent to the ER for chest pain and high blood pressure at which time there was no report of a fracture and was sent back home. **Continued on LIC 9099-C** PAGE 3 On 5/5/2022 R1 was seen by a physical therapist who did not note that R1 had a fracture or reported any pain. On 5/7/2022 R1 was visited by family at which time there were no concerns relating to a wrist fracture. On May 9 th R1 was sent to the ER for high blood pressure at which time it was found that R1 had a fractured wrist. The administrator reported that at no time was R1 exhibiting pain or discoloration to their wrist post their falls in April. Pictures of resident on 4/23/2022 do not show bruising or swelling of R1’s wrist. The administrator reported that they conducted daily wellness checks on all residents. Based on the information obtained, while this may or may not have happened the Department does not have sufficient evidence to support the above allegations. Therefore, the above allegations are deemed Unsubstantiated at this time. No deficiencies cited at this time. Exit interview conducted with Administrator and report issued.