Complaint·May 22, 2025

Continued from LIC9099 any changes in condition during the following visits: 10/21/2024,10/24/2024,10/25/2024, and 10/28/2024. Additional notes dated for 10/29/2024 – 10/31/2024 indicated that R1 had an x-ray completed. X-ray results found that R1 sustained a shoulder fracture and would require a sling. The Department was unable to find additional documentation or evidence to identify how R1’s injury occurred or if there were other changes in condition prior to it being observed by facility staff and the hospice agency staff on 10/29/2024. Based on documents reviewed and observations made, the allegation is Unsubstantiated . A finding that a complaint allegation is Unsubstantiated means that although the allegations may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur. Exit interview conducted. Copy of report and LIC811 (Confidential Names) discussed and provided to Executive Director. Signature on form confirms receipt of documents.