Complaint·June 17, 2025

Regarding the allegation: Facility staff are not properly transferring resident to their wheelchair resulting in injury. It was alleged that R1 fell while being transferred to their wheelchair resulting in injuries. To investigate the allegation, LPA interviewed four (4) staff members. Interview with S3 revealed that while R1 was being assisted within the shower area, R1 began to slide down from their chair. S3 stated the facility self reported the incident on an Unusual Incident/Injury Report (SIR) and noted that R1 was assisted, “…to the floor in a controlled manner”. LPA’s interview with S4 revealed that R1 was checked for any injuries which they noted, R1 did not complain of any pain and/or showcased any signs of injuries. S4 stated that R1 was safely transferred back to their chair with assistance by S2 where no further incident occurred. LPA attempted to interview S2, but S2 no longer works at the facility and could not be contacted. LPA’s record review confirmed that the facility did report the incident to the appropriate reporting parties including Community Care Licensing Division (CCLD). Further record review of staff observational notes of R1 for the remainder of the date of occurrence showcased that R1 was observed to be in good health and complained of no pain. Additional record review revealed that R1 has various medical diagnosis, which can contribute to the weaking of the skin resulting in self-bruising. During LPA’s physical tour, LPA observed R1 to appear to be in good health and participating in activities with their peers. LPA attempted to interview R1 but R1 was participating in group activities, LPA terminated the interview. Furthermore, based on LPA’s interviews, record review and observations there is not enough information to verify the allegation. Therefore, the allegation is UNSUBSTANTIATED at this time. No immediate health and safety issues observed during the day of the visit. Exit interview conducted and a copy of this report was provided to the Executive Director.