Complaint·May 14, 2026

W1 was unable to recall the exact time of the phone call or the events leading up to R1’s fall and could not recall which staff member had called to inform them of the fall. W1 stated that during the call they were informed no injuries or pain had been reported by R1 and no injuries had been observed by staff. Per W1, they later received a second call on the same date indicating R1 was experiencing pain and was being transferred to the hospital. W1 denied staff not seeking timely medical care as R1 had not initially reported any pain and staff had not observed any injuries. W1 stated they did not have any concerns regarding the care provided by the facility. During their interview, seven of seven residents denied having any knowledge of staff not seeking or delaying medical care for residents. Based on record review of R1's Charting Notes and due to allegation being uncorroborated during interviews conducted, the Department is unable to determine if Staff did not seek timely medical care for resident in care. Although the above 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 at this time the above allegation is unsubstantiated. An exit interview was conducted and copy of this report was provided at the end of the inspection.