complaint·February 26, 2024

tools close at all times. Observe R1 for change of condition and assist R1 to meals if needed. Resident appraisal indicates R1 is non-ambulatory walker while ambulating. R1 has difficulty in hearing, but no hearing aids. R1’s speech is clear and language to make needs known. R1 does need assistance of areas for bathing, meal prep, laundry, and med management. R1 does toilet independently and able to do some of ADLS independently. R1 is alert and oriented with no cognitive defects and forgetfulness. Review of R1’s records has no indication that R1 required 1:1 assistance. R1 indicated that they were using the bathroom when they slipped and fell. Incident report submit to the Department indicated that when R1 was found by staff 911 was called immediately and R1 was assessed by paramedics and transferred to hospital for evaluation. Based on the information gathered during the investigation, the Department is unable to ascertain if the allegation occurred as reported. Although the allegations may have happened or is valid, there is not a preponderance of evidence to prove or refute the alleged violation occurred; therefore, this allegation is deemed Unsubstantiated. This report was reviewed with Administrator and a copy was furnished to the facility.