complaint·October 12, 2023

Allegation: Facility neglected resident and they sustained a fracture while in care Based on interviews conducted and reports reviewed, it was discovered that R1 sustained fracture at or around 7:00AM on 02/03/2022 due to unwitnessed unforeseen fall. R1 was not considered a fall hazard at the time of the fall. According to staff interviews, R1 was complaining of shoulder pain and R1 noticed a bruise on R1 upper arm near the shoulder. Med-Tech and caregiver were notified, and the facility provided observation, and medical attention by in house medical staff to assess R1. The facility immediately contacted R1 Physician and Physician ordered for R1 to be transported to Hospital. R1 was transported to Norwalk Community Hospital on 02/03/2022 at 1:25PM. Facility notified the family. R1 returned to facility on 02/07/2022 with order for half bed rails to prevent slipping from bed. R1 agreed with the order. LPA interviewed 7 staff and all 7 of 7 staff denied the allegations. All staff stated that they are required by facility policy to check on residents every 2 hours but that checks are done more frequent if needed. LPA interviewed 10 residents (R#1-R#10) and all 10 of 10 residents stated they get good attention at facility and could not collaborate the allegation. 9 of 10 residents stated staff check on them during the day and evening and ask if resident needs anything. R1 stated R1 slipped out of bed, R1 stated R1 did not fall. R1 stated R1 was sleeping when R1 slipped out of bed and that staff were not neglectful or at fault. R1 stated facility acted right away and sent R1 to the hospital. R1 stated R1 is very happy at facility and is satisfied with the care R1 receives. R1 stated staff check on R1 frequently and R1 has not slipped out of bed since incident on 02/03/2022. W1 who is family member stated W1 is very happy with the care provided to R1 and was aware of R1 incident on 02/03/2022 as facility did contact W1. Facility updated R1 LIC602A on 02/08/2022 and 02/09/2022 and Appraisal Needs and services plan on 02/08/2022.. There is no evidence that facility neglected R1 at this time. Based on interviews, observations, and records reviewed, it is determined that although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is Unsubstantiated. An exit interview was conducted with the assistant Administrator Cynthia Flores and Administrator Lisa Pham and copy of report was provided along with appeal rights. . .