complaint·February 26, 2024

Based on physician’s reported dated 11/20/2018 indicated that R1 is able to ambulate on their own. Per 4 out of 4 interviews with staff R1 was able to ambulate with a walker. Based on interviews with 4 out of 4 staff indicated R1 was able to ambulate quickly and needed to slow down to ensure safety, which staff would remind R1. Per interview with staff, staff indicated they would check on R1 every 2 hours and report any issues with supervisors. Therefore, based on the preponderance of evidence through records reviewed and interviews the allegations Resident developed pressure injuries due to neglect and Resident sustained an injury due to an unwitnessed fall are determined to be UNSUBSTANTIATED, meaning that although the allegation may have happened or are valid, there is not a preponderance of evidence to prove that the alleged violation occurred. This agency has investigated this complaint. No deficiencies cited. An exit interview was conducted and a copy of this report this report was left at the facility.