complaint·October 9, 2024

CONTINUED FROM FORM LIC9099 Regarding the allegation that Due to lack of supervision, resident had an unwitnessed fall , the following has been concluded: On September 20, 2024, resident R1 experienced a fall incident while attempting to use their unit's restroom/bathroom and was found shortly thereafter by a facility caregiver who heard calls for help. The bathroom was confirmed to be equipped with grab bars and slip mats. R1 was verified to have been assessed to receive stand-by assistance for toileting care but was stated by multiple parties to be believed to have attempted to shower unassisted. R1 was taken to the hospital for evaluation after paramedics were called, and returned to the facility the same day with no major injuries assessed per the hospital visit reports obtained during the investigation. Based on the evidence gathered, the fall incident reported does not appear to have resulted from negligence and/or lack of care and supervision from the facility's staff. As a result, the allegation is 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. An exit interview was conducted and a copy of this report was provided to a facility representative.