Complaint·September 26, 2023

ED indicated resident had been residing at the skilled nursing since February 2022 and was stable. ED confirmed Parkinson's diagnosis as well as Dementia. LPA met with the resident who was unable to speak with LPA due to Dementia diagnosis. Resident appeared clean and well taken care of and was participating in an activity. Per physician report dated 10/22/2019, R1 is diagnosed with hyperlipidemia and gastroesophageal disease, is independent, and can leave the facility unassisted. Facility indicated that there was no diagnosis of Parkinson's Disease while resident was at Westminster Villa and indicated resident was being seen by a physician regularly throughout the pandemic. Resident is noted to have one prior fall on 02/23/2022 with no injury or hospitalization. When resident fell on 02/24/2022, R1 was sent out for observation despite resident declining medical assistance. Two out of two staff interviewed at facility indicated no observation of resident decline at time of fall. While resident did have a fall resulting in an injury, facility sent the resident out for observation. Facility provided documentation of resident observation every two hours. Due to conflicting information, LPA is unable to corroborate the allegation. Therefore, the allegation is deemed unsubstantiated, meaning that although the allegation may have happened or are valid, there is not a preponderance of the evidence to prove that the alleged violation occurred. Exit interview was conducted and copy of the report was provided.