complaint·December 17, 2021

Complaint alleges that there is a lack of supervision resulting in resident(s) falls, resident(s) sustaining injuries while in care and residents wandering from the facility. Based on LPA interviews and record review, LPA learned that there was an unwitnessed fall that occurred at the facility regarding Resident #1 (R1) which resulted in injuries. Facility reported this unwitnessed fall in a timely fashion to Community Care Licensing and the Responsible Party was notified. During interviews, LPA learned that R1 slipped and fell which led to R1 sustaining injuries and that the facility did everything that they could have done to take care of the resident. In addition, it was disclosed that R1 did not leave the facility unassisted at any point in time during R1’s residency at the facility, and that R1 used to take walks in front of the facility, but never left the facility unassisted. Additional interviews were conducted with a random sample of residents and those interviews yielded no concerns. LPA observed residents in care to be content and happy in placement. Based on the interviews that were conducted, the observation of the facility and the documents/evidence reviewed, the allegations of, facility is understaffed, lack of supervision resulting in resident(s) falls, resident(s) sustaining injuries while in care and residents wandering from the facility will be Unsubstantiated. A finding that the complaint allegation is unsubstantiated, meaning that although the allegations may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are UNSUBSTANTIATED. Exit interview was conducted and a copy of this report was signed and emailed to the Administrator.