Complaint·August 4, 2021

Licensing Program Analyst (LPA) Javier Prieto arrived to the facility to conclude a complaint investigation regarding the above-mentioned allegations. LPA met with Executive Director Henry. Regarding the allegation of resident sustaining a fall while in care, resident #1 (R1), in question, was assessed as a fall risk and the incident occurred at 0110 hours during routine care check which was unwitnessed. 911 was called and R1 was treated for a injury. Although R1 fell at facility staff followed proper care procedures for prevention of falls and resident care. Regarding the allegation of not noticing a change of conditions, staff assessed R1's medical condition, which was documented. Home health services were obtained for R1 related to change of condition and addressed appropriately. Based on the information obtained there is not enough evidence that facility resident sustained a fall while in care and facility staff did not notice a change in the resident's condition. Therefore, the allegations are deemed UNSUBSTANTIATED at this time. A copy of this report was signed by LPA Prieto and Executive Director Henry and a copy was left at the facility.