complaint·October 22, 2025

Witness called staff for assistance and R1 was transported to hospital. W2 stated that R1 returned to facility on September 28, 2021. W2 stated that R1 uses a walker and is able to complete Activities of daily living on their own. W2 stated they had no issues with level of care being provided for R1. Per Record review Facility Internal incident report dated September 24, 2021 states that R1 had a witnessed fall caused by seizure. Facility called 911 Emergency personnel. R1’s Physician’s Report dated June 17, 2020 states R1 is Ambulatory, has a diagnosis of Muscle Atrophy, receives skilled nursing services & therapy. Physician’s Report also states R1 is able to communicate needs, able to independently feed themselves, moderately independent in bathing and dressing. Per R1’S Advantage Assessment dated 6/23/20, indicates R1 is a moderate fall risk and requires stand by assistance while toileting and grooming. This department has investigated the allegation Resident sustained a fall while in care. Based on interviews and Records reviewed, investigation revealed conflicting reports. Although the allegations may have happened or is valid, there is no preponderance of evidence to prove the alleged violations did or did not occur as reported, therefore the allegations are deemed UNSUBSTANTIATED. An exit interview was conducted with Administrator Mike Marion and a copy of report was provided