Complaint·November 8, 2024

Allegation #2: Facility staff left a resident on the floor for a prolonged period of time LPA Prieto interviewed R1, who reported that a fall occurred in her bathroom on November 2, 2024. R1 stated that she pressed her call button, and approximately two minutes later, staff arrived and transported her to a medical facility. R1 returned the same day with no new orders. Records obtained for R1 indicated that she requires only moderate assistance with transfers and is capable of ambulating independently. Staff #1 (S1) provided discharge papers for R1, which recommended a follow-up with her primary care physician but noted no immediate injuries requiring attention. LPA Prieto also interviewed Residents R2, R3, R4, R5, and R6. These residents reported no issues with falling or with staff failing to arrive promptly when a call button was pressed. Based on the information obtained, there is insufficient evidence to substantiate the allegations that facility staff do not respond to call buttons in a timely manner or that facility staff left a resident on the floor for an extended period. Therefore, these allegations are deemed UNSUBSTANTIATED at this time. This report was signed by LPA Prieto and Executive Director Pacia.