Complaint·March 5, 2025

LPA interviewed Staff members S1, S2 and Administrator Barbara Fleck. During LPA’s interview with S2, they stated that resident R1 currently resides in memory care. Care staff check on R1 as resident is a fall risk per fall risk assessment completed by facility on January 19,2025. Interviews indicated R1 often attempts to walk around without assistance. Interview with S1 indicated that R1 had a recent fall risk assessment and needs and services plan update to accommodate R1's new needs. Interviews with both S1 and S2 indicated that R1 is encouraged to remain in common areas during the day where R1 can be closely monitored by staff members. Interview with Administrator Barbara Fleck indicated that she is working with R1’s family to create a care plan to address falls and ensure R1’s safety at the facility. LPA reviewed R1’s physician’s report, individualized service plan, fall risk evaluations dated October 9, 2024, and January 19, 2025, and R1’s assessment for functional capabilities. Facility has appropriately assessed R1 for fall risks and has put measures in place in order to help prevent falls. Based on interviews conducted, observations, and records reviewed, the preponderance of evidence standards have not been met. Therefore, the above allegations are found to be UNSUBSTANTIATED. A finding that a complaint allegation is unsubstantiated means that, although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred. Exit interview was conducted with Administrator. A copy of this report was provided. Signature on these forms acknowledges receipt of these documents.