complaint·December 15, 2023

On 06/04/2023 R1 was still complaining of pain and discomfort and specified that R1 was suffering from chest and rib pains. Facility personnel contacted 911 and had R1 transported back to the local medical establishment where she was then diagnosed with a rib fracture and discharged with corresponding medications. Based on interviews and information gathered, it was learned that facility personnel were unaware of the rib fracture from the initial fall sustained on 06/03/2023 since it was not diagnosed by the local medical establishment and only addressed the issue of the possible head injury. It was learned that once it was properly diagnosed and documented that R1 had sustained a rib fracture by the local medical establishment on 06/04/2023, facility personnel then addressed the change in care and supervision at that time. It was learned that Nurse Practitioner, Karlene Bert, was employed under the medical group for licensed medical professional Rex Adamson. It was observed that there were several changes and amendments made to the prescribed medications for R1 during R1's admission to this facility. It was observed that all changes and amendments that were conducted for R1 had corresponding documents from the Nurse Practitioner, Karlene Bert, in lieu of the licensed medical professional Rex Adamson. All changes were properly documented and observed at this time. Nurse Practitioner Karlene Bert and licensed medical professional Rex Adamson were not employees of this facility. As a result of this investigation, this Department found the allegations to be UNSUBSTANTIATED. A complaint allegation finding of Unsubstantiated meant that although the allegations may have happened or was valid, there was not a preponderance of the evidence to prove that the alleged violations occurred. There were no deficiencies observed or cited at this time. Exit Interview