complaint·April 22, 2025

out to the hospital. In record review there was no other incident reported or fall on record for R1 prior to April 12, 2023. Interview with 3 of 3 staff stated that R1 was sent out by request of the daughter due to observation of weakness and not eating well. Upon request staff immediately called ambulance services and was sent out. R1 had no incident of falls prior to being sent out. Records review reflects R1 having general weakness, but did not require any mobility equipment, did not have any physical difficulties, and had the functional skills ability for self. No record of fall or R1 being fall risk. Based on the information gathered during the investigation, interviews and review of all documents obtained, 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.