complaint·February 17, 2022

Licensing Program Analyst Leibert arrived unannounced for the purpose of continuing the investigation of this complaint. LPA toured portions of the facility and took additional statements from residents. LPA met with Executive Director and delivered findings. Based upon interviews and documents, the following determination are made: R1 has sustained injuries and bruising from falls occurring at the facility; R1 has medical conditions that put R1 at high risk for falls and injuries; R1 has fallen on many occasions; Facility records indicate fall protocols have been followed by staff and R1's personal physician indicates that R1 is not a candidate for pendant call device; R1 and family member state that R1 receives good care and that staff care for R1 appropriately; Outside professionals state that R1 receives appropriate care at the facility; No witnesses to alleged rough handling of R1 have been identified. While the allegations may be true, based upon the statements made and documents reviewed, there is not a preponderance of evidence to prove the allegations are, or are not, true. Therefore, the allegations are UNSUBSTANTIATED. No citations issued today. Report left at the facility.