Complaint·May 11, 2023

CONTINUED FROM FORM LIC9099 Regarding the allegation that Facility failed to meet reporting requirements, the following has been concluded: Per facility procedure, fall incidents and medical emergencies are typically reported when they involve paramedics being called via 911 and/or a transfer of the resident to their hospital of choice for evaluation and treatment, as was confirmed by reviewed incident reports communicated to the Department SIR fax line, including an incident that occurred on April 18, 2023 requiring a hospitalization for resident R1. A subsequent report for an incident dated April 20, 2023 for the same resident, not resulting in a hospitalization was also provided by facility staff during the visit. Other falls evidenced by resident interviews were not reported after it was assessed by facility staff that there were no serious implications for the welfare, safety or health of the resident involved. The allegation is therefore found to be Unsubstantiated, meaning that although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove or refute the alleged violation occurred. A Technical Assistance Advisory Note is issued regarding Reporting Requirements. An exit interview was conducted and a copy of this report was provided to the facility.