Complaint·September 14, 2024

A review of R1’s physicians report, dated June 1, 2022, states R1 can handle his/her own cash resources. The Department has completed the investigation of the above allegations. Based on interviews conducted and records review, the department has found that the above allegations were UNFOUNDED , meaning that the allegations were false, could not have happened and/or are without a reasonable basis. No deficiencies cited, an exit interview conducted with Lead staff Luzviminda "Minda" Obillo and a copy of the report was provided. Page 2 Out of 2. END OF REPORT. On September 5, 2024, LPA Monter interviewed Staff S1 and ADM. Staff S1 stated she does not remember working that day and does not remember the details as she cannot recall. ADM stated R1 always wants to do things him/herself. ADM stated resident R1 was aware that he/she could not leave the facility unassisted but insists on going by herself to the store or doctors’ appointments. ADM stated she has discussed this with the family and had R1 sign in and out in the book. On September 14, 2024, LPA interviewed staff S2. S2 stated R1 had signed out to go for a walk to 7/11. S2 stated resident R1 insisted on walking by him/herself. S2 stated R1 had returned to the facility and told the staff that he/she had fallen. Based on a review of R1’s Physician Report dated, June 1, 2022. Resident R1 does not have a neurocognitive disorder. Resident R1 is ambulatory but cannot leave the facility unassisted. A review of R1’s Needs and Services Plan (ANS), dated January 20, 2023, states R1 uses a walker for long distances and walks around the house without an assistive device. The ANS also states R1 is more stable in his/her mobility after physical therapy completed. The ANS states R1 walks very well alone and refuses to be assisted, stating he/she wants to do things for him/herself. Based on a review of facility Unusual Incident Report, dated January 24, 2023, states on January 23, 2023, at 5:30pm, resident R1 came back home after a walk to the 7/11 and stated he/she fell. Based on a google maps search, the facility is 0.2 miles away from the 7/11. With an estimated walking time of 5 minutes. The Department was unable to interview resident R1 during the course of this investigation. Resident R1 no longer lives at the facility. Based on investigation, records reviewed, and interviews conducted, the Department found that the above allegations are UNSUBSTANTIATED . An unsubstantiated finding indicates that although the allegation may have happened or is valid, there is not a preponderance of evidence to prove that the allegations of neglect/lack of supervision did or did not occur. END OF REPORT.