complaint·December 2, 2024

Based on interviews and documentation reviewed, there is insufficient evidence to prove the allegation, therefore, it is Unsubstantiated at this time. Allegation # 2: It was alleged staff failed to seek medical attention for resident in a timely manner. On 03/29/2023, from 10:30 a.m. to 2:40 p.m., (LPA) conducted the initial investigation, which included interviews, a review of facility and resident records, and a physical plant inspection. During a follow-up visit conducted today from 10:00 a.m. to 4:30 p.m., the LPA conducted additional interviews and reviewed resident records. On 03/09/2023, staff discovered( R1) on the bathroom floor following a fall. Staff observed a skin tear near (R1’s) elbow and applied first aid. Staff reported that (R1) did not complain of pain and displayed a full range of motion in both arms and legs. Documentation reviewed by LPA indicated that staff appropriately treated (R1’s) injury and continued to treat and monitor over several days. Documentation also demonstrated that the wounds appeared to be old and healing. Based on documentation and interviews, there is insufficient evidence to support the allegation that staff failed to seek timely medical attention. Therefore, the allegation is Unsubstantiated at this time. Allegation # 3: It was alleged staff left resident unattended for extended periods of time. On 03/29/2023, from 10:30 a.m. to 2:40 p.m., (LPA) conducted the initial visit, which included interviews, a review of facility and resident records, and a physical plant inspection. During a follow-up visit conducted today from 10:00 a.m. to 2:30 p.m., LPA conducted additional interviews and reviewed facility records. Staff and residents both denied staff leave them unattended for extended periods of time. And LPA does not have enough evidence to prove the allegation, therefore based on interviews, the allegation is Unsubstantiated at this time. Allegation # 4: It was alleged staff failed to meet reporting requirements. On 03/29/2023, from 10:30 a.m. to 2:40 p.m., the Licensing Program Analyst (LPA) conducted the initial visit, which included interviews, a review of facility and resident records, and a physical plant inspection. During a follow-up visit conducted today from 10:00 a.m. to 4:30 p.m., the LPA conducted additional interviews and reviewed facility records. It was reported that the facility was not submitting incident reports to the Department’s Complaint Intake Unit. LPA determined that the facility is submitting incident reports to the appropriate local regional office via fax or email. A review of the facility’s profile confirmed that incident reports are being submitted in a timely manner Based on record review, there is insufficient evidence to support the allegation that staff failed to meet reporting requirements. Therefore, the allegation is Unsubstantiated at this time. Allegation #5: It was alleged that staff failed to protect a resident from being harmed by another resident. On 03/29/2023, from 10:30 a.m. to 2:40 p.m., (LPA) conducted the initial visit, which included interviews, a review of facility and resident records, and a physical plant inspection. During a follow-up visit conducted today from 10:00 a.m. to 4:30 p.m., LPA conducted additional interviews and reviewed facility records. According to the information obtained, (R2) denied pushing (R1), while (R1) was vague about the alleged incident and denied it occurred. There were no witnesses that were identified by (LPA) and staff to confirm the incident. Both (R1) and (R2) are no longer residing at the facility. (R1) was relocated to another facility, and (R2) passed away. Based on interviews and documents reviewed, there is insufficient evidence to support the allegation, therefore it is Unsubstantiated at this time. Exit interview and copy of report provided to ED.