complaint·February 12, 2024

Paramedics found R1 sitting in a chair with care staff. R1 denied falling or hip pain. EMS assessment revealed hips and pelvis feel intact and firm, no obvious signs of broken bones or dislocation and R1 able to bare weight with walker. R1 denied any other pain. R1 advised an ambulance was on scene and transport could be conducted to ER. R1 understood this but did not want ambulance transport but wanted to take pain meds and rest at facility. Attempts to contact R1’s daughter via phone were unsuccessful . Facility care notes revealed on the following day (12/7/2023) at approximately 11:10am private 1:1 reported to nurse R1 was experiencing pain in left hip, nurse assessed and agreed at which point, 1:1 contacted family with nurse present and decided to call 911 again, sending R1 to hospital. Self reported incident submitted to community care licensing on 12/13/2023 revealed R1 diagnosed with closed dislocation of left hip and returned to facility same day. Former Administrator indicated, the facility Plan of Operations (POO's) does not state any specific time frame at which staff needs to contact the family etc. of an incident other than as soon as possible and within Regulations. Based on LPAs interviews with staff, complainant, and documents obtained, LPA was unable to either prove or disprove facility did not report incident to responsible party timely. Therefore, the allegation is Unsubstantiated. Although the allegation above may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is Unsubstantiated .