Complaint·November 6, 2025

and on May 6, 2024, when the change of condition was noted. R1 had an incident on May 2, 2024, which was due to R1 having a UTI. May 6, 2024, incident was for an unwitnessed fall. Both incidents R1 was sent to two different hospitals for evaluation. Interview with staff stated that despite the first incident being ruled as a UTI, bed alarm and also half side rail was implemented with prescription. Upon noted change of condition they reassessed R1 on May 6, 2024, and made the necessary changes. Interview with 4 of 4 residents stated that staff check on them often, help them when they need help and are good to them. Residents stated they had no complaints to make. Based on the information mentioned above, the Department is unable to ascertain if the allegation occurred as reported. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove or refute the alleged violation occurred; therefore, this allegation is deemed Unsubstantiated. An exit interview was conducted with the Administrator and a copy of this LIC9099 report was left at facility.