complaint·August 9, 2021

The Facility Administrator stated that that no resident in Care is prescribed that type of medication. The LPA conducted interviews with residents in care, some of which are on controlled medications. All resident, including R1 Generally stated that they receive their prescribed medications and have not received anything that was not prescribed to them. Based on LPA Record Review, Observation, and Interviews the LPA finds that : Although the allegation may have happened or is valid, there is not preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation is unsubstantiated. Regarding Allegation: Resident sustained a fall while in care. Reporting Party stated that the resident has had 3 documented falls dating back to 2020. R1’s last fall Was on 08/01/21. R1 was admitted to the hospital. Prior to the last fall, On 07/13/21 R1 was placed into hospice care. The facility conducted a Re-assessment /Needs and services plan on 07/29/21. The plan indicated R1 has a history of falls, and set a new plan in place, which included R1 being placed on Hospice, and bed rails being added to the bed, and discussed one on one care with family, or higher level of care to meet R1's needs. Family wants to keep R1 at the facility. . LPA conducted interviews with other residents in care, whom are both Ambulatory, and Non-Ambulatory. Residents 1-7 generally stated that they have not had any falls while in care. Based on LPA interview, and record review, the LPA finds that: Although the allegation may have happened or is valid, there is not preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation is unsubstantiated. An exit interview was conducted and copy ot this report was given. No Citations were issued during this visit.