complaint·August 14, 2025

was in their room sitting in their recliner watching television. S1 and S2 were preparing for dinner when they heard a scream coming from R1’s bedroom. Staff immediately rushed to R1’s bedroom and found R1 on the floor with their head facing the bedroom doorway. S2 assessed R1 for any injuries and noted there were no visible signs of bruising. R1 stated they were fine and had no pain. Staff suggested for R1 to go to hospital for further evaluation, however R1 declined further medical attention. Staff monitored R1 in case they didn’t have any delayed pain. On the morning of July 14, 2024, around 8:45am staff checked in on R1 and R1 complained of pain to their upper left thighs. R1’s POA decided to call 911 to transfer R1 to the hospital at that time. Record review revealed that united Home Health was notified of the fall and due to R1 refusing further medical care doctor ordered mobile x-rays to be done. Records from Providence St. Jude revealed when R1 was picked up by medics and when arrived at hospital there was no visible bruising or deformity on left hip. Based on the information gathered during the investigation, there was not enough evidence to support the allegation. Based on the information mentioned above, the Department is unable to ascertain if the allegations 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. An exit interview was conducted with Administrator and a copy of this LIC9099 report was left at facility.