Incident investigation·February 2, 2022

On 02/02/22 Licensing Program Analyst (LPA) Jade Jordan conducted a Case Management in conjunction to complaint 11-AS-20211217113142 Resident alleged that they were injured in care, from a dresser provided by the facility, that fell on them in July 2021. According to RP/R1 this was un-witnessed, but reported to Facility Management. Record Review Revealed that on 07/03/21 R1 had an un-witnessed fall at 6am. Resident reported that they were walking to the bathroom and slipped off of the doorknob of the bathroom door, and fell onto dresser. Resident claimed they had an 8 out of 10 pain level. Facility staff offered to send resident to hospital. Resident refused to accept emergency services. PRN Tylenol was given and continued to monitor. Later that after noon 3pm Resident was transported to LB Memorial Hospital. Resident returned same day 9:50 pm, with no new medications or physician directions. Unusual Incident report was made on 07/07/21, and received By LPA Jordan. Administrator stated that they took the dresser out of resident’s room and replaced it with a new one. Health and Safety check were conducted with residents in care. Interviews with residents revealed that all residents generally declined having been caused an injury by facility furniture, and that no dressers have fallen on them. An Exit interview conducted, a copy of this report was provided. No Citations were issued.