Complaint·November 29, 2023

During this period, (03) three residents experienced more than one fall incident and according to facility staff, clients were hospice residents, and all available measures and precautions were exercised. During interviews with staff, all staff stated that the local fire department’s complaint of frequent falls and increased 911 calls is directly correlated to the increase in the facility’s census from forty-eight (48) residents to ninety-six (96) residents. All staff added that facility takes all necessary steps to mitigate falls such as adjusting their beds, removing any obstacles, reviewing medications, providing extra care and support, alerting all staff, encouraging residents to request for assistance to move about, requesting mats from Home Health, checking for loose clothing, increasing the frequency of how often they are checked on, continuous reminders to use their walkers, notify and follow-up with physicians and nurse practitioners. Based on record review and interviews, there is not enough information to verify the allegation. Therefore, the allegation is UNSUBSTANTIATED at this time. No health and safety hazards were noted during the visit. Exit interview conducted and a copy of the report was issued.