complaint·December 5, 2023

Complaint alleges Neglect/Lack of Supervision resulting in resident falls with injury(ies) . Review of pre-assessment and Physician's Report establishes that R1 was identified as a fall risk and required assistance as well as needing supervision due to confusion and restlessness prior to move-in. The Special Instructions created for R1's care state an escort to meals and activities will be provided, safety checks will be done at least 3 times per shift, and staff monitoring to maintain independence and safety. Other accommodations were also put in place, including keeping room free of clutter, clear pathway to bathroom and bed to lowest setting. Review of Staff Schedule indicates that staff was present at all times to provide R1's needs and services, monitoring and supervision. The facility provided constant communication with PCP, home health and family regarding the status of R1. Based on interviews, documentation and observation LPA could not substantiate the allegation. .A finding that the complaint allegation of Neglect/Lack of Supervision resulting in resident falls with injury(ies) 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 allegation is UNSUBSTANTIATED. Exit interview was conducted and a copy of this was report was signed and given to the Administrator.