Complaint Investigation Report

During the investigation LPA interviewed W1 and S1. W1 reported concerns regarding R1’s multiple falls and stated the facility did not notify W1 on one occasion When R1 had a serious fall and was transferred to the hospital or returned to the facility. W 1 also stated that staff were not attentive to R1 and that R1 was often observed ambulating unsupervised throughout the facility, despite the facility being aware that our one was a fall risk. Find the interview with S1 stated that R1 was permitted to ambulate freely within the designated areas of the facility and that there were no physician orders indicating that R1 was non ambulatory. S1 further stated that the facility notified R ones responsible party each time R1 experienced a fall and that the physician was informed after each incident. The LPA conducted record review our facility records including progress notes physician communication forms which confirm that the responsible party and physician were notified following each fall based on interviews and record review the allegation is unsubstantiated.

Allegation: Staff did not prevent outbreak of scabies.