complaint·April 6, 2023

This department has investigated the complaint alleging that resident sustained an unwitnessed fall due to lack of supervision while in care. LPA conducted a tour of the facility, reviewed records and conducted interviews. During the tour, it was reported that the resident lives in the assisted living portion of the facility, but has temporarily moved to the skilled nursing portion to receive additional care such as rehabilitation and physical therapy. LPA reviewed the following documents such as, but not limited to: the staff roster, staff schedule, resident roster, incident reports pertaining to the resident, hospital documents, resident's physician report, resident's needs and services plan, and resident's discharge paperwork. Per record review, it was noted that the facility contacted 911 immediately upon observing the resident on the floor. LPA conducted a total of 8 interviews which consisted of staff and residents, of which all 8 of the interviews did not corroborate with the allegation. Per interviews, it was stated that the facility contacts paramedics when a resident has sustained a fall, regardless if the resident sustains an injury or not, and that the facility nurses conducts an assessment on the spot. 1 of the interviews conducted, specified that "there were a lot of medical people helping". 2 of the interviews conducted, disclosed that upon observing the resident on the floor, 1 staff stayed with the resident to ensure safety, while the other staff contacted 911 right away and gathered any relevant paperwork that may be needed. Based on observations and review of documents obtained, we have found that the complaint was UNFOUNDED, meaning that the allegation was false, could not have happened and/or is without a reasonable basis. For today's visit, no citations were issued. An exit interview was conducted with AD Croslin and NM Weathers, and a copy of this report was provided to the facility.