complaint·May 7, 2024

In regards to the allegation "Staff failed to properly assess residents after falls" it is alleged that the multiple residents have fallen in the facility and staff don't do anything about it. (7) of (7) Staff interviewed denied the allegation. (6) of (6) Residents interviewed could not corroborate the allegation. Interviews from staff state that when a resident falls, witnessed or unwitnessed, they are assessed by the facilities med techs or nurse immediately. The person assessing the resident will call paramedics for the residents unless the resident express they do not want paramedic assistance. The fall is then noted and an incident report created. The family, physician, and Licensing is then notified. Depending on the situation, the facility nurse will make updates to the residents care plan going forward. LPA file review shows that there were (3) falls in the last 2 months. LPA reviewed the Incident reports created and sent into Licensing. Each report details whether the fall was unwitnessed or witnessed, that the resident was assessed, who assisted the resident, and what assistance was provided. The report also notes whether a change to the residents plan of care would be completed. Interviews with R2 and R3 confirmed the information on the incident reports involving them. All resident interviews shows that they believe staff will assist residents immediately once they are aware of a fall. LPA was not provided proof of which residents were not being assessed and assisted with properly by staff. Based on interviews, observations, and record review, there was not enough supportive evidence to concur with the reported allegation. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the allegation did or did not occur, therefore the allegation is UNSUBSTANTIATED. Exit Interview conducted and copy of this report was provided.