Complaint·February 20, 2025

Care notes reviewed indicate fall was noted and addressed on 12/22/24 by staff. Record reviews and interviews further revealed that R1 has a history of resisting staff assistance with cleaning room and lacks safety awareness. Behavior support plan for R1 indicates interventions are in place to address this behavior. Observations conducted revealed facility staff attending to residents needs adequately. As a result, although R1 sustained a fall and minor injury while in care, there is not a preponderance of evidence to conclude this was due to a lack of appropriate supervision. Therefore, the above allegation is UNSUBSTANTIATED. A finding of unsubstantiated means the allegation may have happened or is valid, but there is not a preponderance of the evidence to prove that the alleged violation occurred. An exit interview was conducted with Administrator and a copy of this report was provided. Appeal rights provided.