complaint·December 22, 2022

During the course of this investigation, LPA reviewed the following records regarding R1: Needs and Service Assessment, Care plan, Charting notes, Emergency Information Admission Agreement, Physician Report. In addition to reviewing residents documentation, LPA made observations and conducted interviews with staff and responsible parties. Based on the interviews, records, and observations made during the investigation the following determinations were made: The first allegation alleged- Resident (R1) fell and sustained an injury due to building and grounds. More specifically that R1 fell due to an uneven surface. LPA conducted a tour and made observations of the buildings and grounds. (picture taken) Based on interviews and LPA's observation it was determined that the grounds and floors were adequately maintained and not a safety risk for residents in care. The second allegation alleged- Staff did not seek timely medical attention for resident R1 in care. Based on interviews, and records LPA learned after R1 sustained an injury on 5/26/2022. There were conflicting statements on whether they sought assistance from their responsible party after or prior to informing the facility that they had a fall and needed medical attention, however it was determined that the responsible party would transport them to a medical facility. According to interviews R1 did not appear or state they required immediate medical attention. Interviews and R1's 602 physician report indicate that R1 is able to communicate their own needs and are responsible for their own treatment. Interviews also reveled that R1 indicated that it was not necessary that they be transported by EMTs. Continued onto 9099 C The third allegation alleged staff did not adequately supervise resident in care. LPA conducted interviews and reviewed resident R1's records which including their needs and service appraisal and physician report and it was determined that R1 did not require supervision and can manage their own treatment and care. The fourth allegation alleged-Staff did not maintain resident's records accurately. LPA reviewed 5 of 5 resident records. Staff were able to provide LPA with 5 of 5 resident records timely. Records were organized and complete. Therefore the complaint is Unsubstantiated. A finding that the complaint allegation is unsubstantiated meaning that although the allegation may have happened there is not a preponderance of evidence to prove that the allegation occurred. No deficiencies cited.