complaint·August 29, 2023

Although, records obtained from the facility revealed R1 had sustained nineteen incidents from 3/17/23 to 8/12/23, interviews with staff, R1 and external sources did not reveal any concerns with lack of supervision, nor neglect. It was revealed staff would encourage R1 to call staff when assistance was needed, but R1 would not. R1 would remove R1’s incontinence brief causing the floor to become slippery and as a result, R1 falling when attempting to use the bathroom. During an interview with R1, R1 corroborated R1 often did not use R1’s call pendant to request assistance from staff. R1 did not have any concerns with assistance from staff and indicated staff continued to check in throughout the day and encourage R1 to use R1’s pendant. Based on the evidence gathered throughout the investigation, there was not a preponderance of evidence to prove the alleged violation occurred, therefore, the allegation was Unsubstantiated. An exit interview was conducted with Smith, to whom a copy of this report, and Licensee/Appeals Rights (LIC 9058) were provided.