complaint·October 26, 2023

the staff that assisted R1’s fall on 08/29/2023 according to the incident report and interview, S3 was able to recall the fall on 08/29/2023 in detail and stated that, “I’ve had training on Hoyer and Sara lift prior to working at this facility.” LPA asked S3 if they had ever been trained on the Sit To Stand Lift, S3 stated, “no”. On the initial investigation visit, LPA requested in writing that Licensee provide, Staff training records for any resident lift requirements (will need to request training records with Licensee at a later time) LPA also called Licensee on 09/01/2023 and made verbal request for those documents. On 09/02/2022, Licensee provided a training log for Hoyer lift, stating those trained were, “(Licensee) and a few … staff”, training did not specify which staff. On 10/25/2023, Licensee provide physicians script stating that “(facility) staff had been trained on sit to stand lift” on January 20, 25, and 27. But did not specify which staff. On 09/08/2022. Licensee provided a doctor’s order dated 09/02/2023, for R1 stating, “after prior verbal consent, staff may use Sara Lift when patient (R1) is not cooperating with sit to stand lift …” LPA noted that there was no lift orders or documentation that the physician issued a “verbal order” to use any assisted lift devices with R1 prior to the fall on 08/29/2023. Additionally, the staff that was attending to R1 during the fall on 08/29/2023 stated they had not had any assisted lift device training at this facility. The fall on 08/29/2022 resulted in bruising on R1’s left arm, while using the Sit To Stand Lift with staff that was not trained by admission and no documentation of training. Based on lack of documentation to support proper staff training, admission of no training on Sit To Sand Lift device, and staff to use assisted lift devices with R1 at the time of the fall that resulted in bruising, there is enough evidence to support the allegation of, “Staff dropped resident resulting in bruising” and is substantiated at this time. Exit interview, citation issued, appeal rights and report provided.