Complaint Investigation Report

Finding: Staff Did Not Seek Medical Attention for a Resident in Care – Unsubstantiated

Program Analyst (LPA) interviewed four (4) staff members, all of whom stated that medical attention is sought promptly whenever a resident is injured, becomes ill, or expresses a need for medical care. Additionally, five (5) resident interviews indicated that staff do seek medical attention when needed. An interview with the complainant further confirmed that the facility did, in fact, seek medical attention for Resident 1 (R1) while in care.

Finding: Staff did not prevent a resident in care from sustaining falls – Unsubstantiated

Licensing Program Analyst (LPA) interviewed four (4) staff members, all of whom stated that residents identified as fall risks are provided with appropriate supervision and assistance in accordance with their care plans. Staff reported that preventative measures, including monitoring, reminders, and assistance with ambulation, are implemented to reduce the risk of falls. LPA also interviewed five (5) residents, who indicated that staff are available to assist when needed. Residents reported that staff respond to requests for help and provide support with mobility and daily activities. In addition, LPA reviewed relevant facility records, including but not limited to incident reports, care plans, and physicians’ reports. Documentation reviewed did not indicate that staff failed to implement appropriate fall prevention measures or that neglect contributed to resident falls.