Other·April 29, 2021

Per review of R1's facility records, R1 is bedridden and needs total assistance. R1 spends most of the time in the bedroom but does participate in some activities while sitting in the wheelchair. Based on the interviews with facility staff, they were unable to provide an explanation as to when and how R1 sustained the injury. There are no reports of falls. Staff observed that R1 was sitting in the wheelchair during the party. Based on the interviews with the facility visiting physician and ER doctor, the injury could have occurred when staff were transferring R1 from the bed into the wheelchair. It was also noted that R1 has osteoporosis in which the bones become fragile and can incur an injury from any slight movement. The Department has investigated this complaint in regards with the above allegation. Based on the interviews and review of records, although the allegation may have happened or is valid, there is not a preponderance of evidence to prove that the above allegation did or did not occur, therefore the allegation is UNSUBSTANTIATED. No deficiencies cited. Exit interview conducted. A copy of this report along with the Licensee Appeal Rights (LIC 9098, 01/16) form were provided to Administrator, Paulo Ordinanza via electronic mail. An electronic read receipt confirmation was requested to be sent by Administrator upon receipt of the documents. THIS IS AN AMENDED REPORT FOR TELE-VISIT DATE, 4/29/2021.