Complaint·May 12, 2026

Continued from LIC90999 page... The complainant further reported that R1 does not exhibit aggressive behaviors. Per staff interviews, R1 exhibits behaviors that contribute to bruising due to poor coordination and mobility challenges. Staff further stated that when an increase in falls was observed, the facility contacted R1’s physician to address R1’s changing care needs and obtain further medical guidance. LPA reviewed facility records and physician documentation provided by the facility. Records indicated that R1 has thrombocytopenia, a platelet insufficiency condition that may contribute to increased bruising and bleeding, and a history of transfusions related to this condition. Although R1 experienced bruising and has a documented history of falls, interviews conducted, and records reviewed did not provide sufficient evidence to support that the falls occurred as a result of neglect or lack of supervision by facility staff. Information obtained during the investigation indicated that R1’s medical conditions, use of blood thinners, impaired coordination, and thrombocytopenia likely contributed to the bruising observed. Based on interviews conducted, observations made, and records reviewed, there was insufficient evidence to determine that facility staff neglected R1 or failed to provide appropriate supervision. Therefore, the allegation is Unsubstantiated. A finding that the complaint allegation is UNSUBSTANTIATED means 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. Exit interview conducted. Copy of report discussed and provided to Licensee/Administrator. Signature on form confirms receipt of documents.