complaint·March 29, 2024

(continued from page 2) Staff indicated they remained with R1, contacted 911, placed towels and pillows under R1, and stood around R1 to shield R1 from the sun. Additionally, staff confirmed the facility protocol for head injuries is to not move the resident, notify 911, and monitor until medical personnel arrive to assess the resident. The medical records pertaining to the incident revealed R1 sustained a head laceration requiring staples, and first- and second-degree burns. Regarding the allegation “Staff did not seek timely medical attention for a resident”. Records were reviewed, and interviews were conducted with current facility staff members, and current RCFE clients. The facility staff interviews confirmed records revealed Resident #1 (R1) was independent and was able to leave the facility unsupervised. The facility staff interviews confirmed R1 fell off R1’s scooter and hit his head as he traveled on the sidewalk outside the facility. Staff indicated they contacted 911, remained with R1, contacted 911, placed towels and pillows under R1, and stood around R1 to shield R1 from the sun. Additionally, staff confirmed the facility protocol for head injuries is to not move the resident, notify 911, and monitor until medical personnel arrive to assess the resident. Medical records confirmed R1 sustained a head laceration requiring staples, and first- and second-degree burns. The EMS records narrative indicated R1 was on the pavement for approximately 20 minutes. However, this information could not be validated as there was no indication on the 911 radio call of how much time had lapsed before 911 was contacted by the facility. Therefore, the allegations of neglect/lack of supervision is Unsubstantiated. Although the allegations may have happened or are valid, there is no preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are unsubstantiated. An exit interview was conducted with Cheree Escandel and a copy of this report along with LIC811- Confidential Names list was provided.