complaint·September 18, 2025

R7 and R8 said they have gone to the hospital and 911 was called immediately and that staff communicates well and the process has gone smoothly. Spoke with Administrator who stated Resident R1 had an unwitnessed fall and was assessed. Stated R1 didn't have a head injury and everything was normal. Said R1 normally has slurred speech. Interview with Staff S1 who stated that R1 fell and was assessed right away and had no head injury, and no wounds. Vitals were normal. Said all was normal with R1. Stated slurred speech is normal. It is baseline. Interview with Staff S2 who stated that if resident had fallen they don't just send them to the hospital. They assess and with R1 didn't have a head injury or wound. Stated R1 was oriented x4 and R1 is self responsible and was fine and didn't want to go to the hospital. Admissions Record dated 2/19/24 lists R1 as responsible party. Staff communication notes state that on 09/09/25 at 12:10 AM that R1 was on the floor. Also said that there were no bumps or bruises and R1 didn't hit head or have any pain. It should be noted that R1 is currently in the hospital. Although the allegations may have happened or are valid, there is no preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegations are unsubstantiated .