complaint·September 8, 2023

(Report Continued from LIC 9099...) It was alleged that facility staff did not return a wheelchair to resident. It was reported that Resident #1’s (R1’s) wheelchair was taken away during a fire inspection by the fire department and never returned. Review of documents revealed that R1’s Physician’s Report dated 09/02/2021 indicates R1 to be ambulatory without needing assistance of any medical equipment to get around. Interviews conducted with staff revealed the facility had had a fire inspection and the inspector stated the hallways needed to be clear at all times. Additionally, after R1 had asked for their wheelchair, it was given back as it was placed in storage. The wheelchair did not have a name for staff to easily identify and say it belonged to R1 until R1 described the wheelchair and then after, the wheelchair was taken out from storage and taken to R1’s apartment. Interviews conducted with R1 revealed the facility had mentioned to R1 that the fire inspector stated wheelchairs and other large items were a fire hazard if left unattended in the hallway. Additionally, although R1 is ambulatory, R1 stated they used a wheelchair to easily maneuver around the table while doing puzzles and playing cards without having to get out of the chair. R1 also stated the facility returned the wheelchair to them shortly after R1 mentioned the incident, as the wheelchair had stickers that R1 had placed on the wheelchair before it had gone missing, which allowed the facility to locate the wheelchair in storage. Furthermore, R1’s wheelchair has since been returned to R1. Based on the interviews conducted with R1 and facility staff, the Department does not have sufficient evidence to support the allegation of “facility staff did not return a wheelchair to resident”. Therefore, this allegation is deemed Unsubstantiated at this time. (Report Continued on LIC 9099C...) (Report Continued from LIC 9099C...) It was also alleged that facility staff did not adequately supervise residents resulting in resident getting injured by another resident. It was reported that R1 was assaulted by Resident #2 (R2) during an activity which caused R1 to have a skin tear on their arm. Interviews conducted with staff revealed that R1 had reported the incident to management as R1 sustained a skin tear after arguing with R2. Interviews conducted with R1 revealed that during the incident, R2 accidentally caused R1 to have a small skin tear. Additionally, R1 added that R2 apologized following the incident and realizing R1 had a skin tear. Similarly, both R1 and R2 stated the incident was caused by a misunderstanding between both residents. Furthermore, during interviews conducted with R1 and R2, both residents reported having no concerns with the facility staff and stated staff is always present during activities. Based on interviews conducted with staff and residents, the Department does not have sufficient evidence to support the allegation of “that facility staff did not adequately supervise residents resulting in resident getting injured by another resident”. Therefore, this allegation is deemed Unsubstantiated at this time. Exit interview conducted. A copy of the appeal rights and report were issued.