Complaint Investigation Report

Staff did not transport resident in a safe manner – SUBSTANTIATED

It was reported that staff were transporting a wheelchair bound resident in the facility van to a medical appointment. When the van came to a stop, the resident fell out of the wheelchair because the resident did not have a seat belt on. RP stated they received a call from the driver, RP went to help but ultimately the fire department had to come and help get R1 back into their wheelchair. R1 sustained some bruising but no injury as a result.

LPA reviewed Resident 1 (R1)’s Physicians Report which states that R1 is non-ambulatory.

Care staff had no direct knowledge of the incident.

Administrator stated they did hear about the incident. When R1 was interviewed, they said they were strapped in but were unsure how the seatbelt came unlatched.

It was determined that staff did not ensure that R1 had a seatbelt on while being transported resulting in R1 falling out of their wheelchair in the facility van.