complaint·May 20, 2022

On the allegation: Facility failed to notify resident's authorized representative of incident. LPA conducted interviews with staff and Resident 1 (R1)’s responsible parties. LPA also reviewed facility records including incident reports. The investigation revealed that R1 had responsible parties to contact after an incident, and documentation does not reveal all parties were contacted regarding R1’s fall incident on 2/23/2021. Therefore, the allegation is deemed Substantiated at this time. Exit interview conducted, deficiency cited, copy of report and appeal rights emailed to Administrator/Licensee. On the allegation: Due to staff neglect, resident sustained fracture while in care. LPA interviewed witnesses, staff and reviewed medical records and incident report which revealed Resident 1 (R1) had a fall on 2/23/2021. Facility supervisor was immediately notified and R1 was take to the Emergency Room, where R1 was diagnosed with Intertrochanteric fracture of the right hip and scheduled for surgery the next day. No evidence was found during the investigation to suggest that staff neglected the resident, resulting in a fall. Staff sought immediate medical treatment for R1 when the fall occurred. Therefore, the allegation is deemed Unsubstantiated at the time. Exit interview conducted and copy of report emailed to Administrator/Licensee.