Complaint·June 9, 2021

On August 4, 2020 R1 was removed from the facility by R1’s responsible party and taken to the hospital because R1 had stated that staff were hurting R1. R1 was medically cleared at the hospital and was placed in skilled nursing. R1 did not return to the facility and passed away on August 30, 2020. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED. Mr. Dactu was reminded that there must always be an order for full bed rails and that a resident must be receiving hospice services in order to have full bed rails. An exit interview was conducted with Administrator Daniel Dactu and a copy of this report was provided.