Complaint Investigation Report

Staff failed to provide appropriate care resulting in resident skin tears

Facility did not have a current appraisal needs and service plan for R3 to indicate specific care needs. Interview with resident (R3) revealed that R3 can reposition and turn independently, but staff have assisted R3 in transfers. R3 stated staff will provide assistance when asked.

Although the allegations may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did occur, therefore the allegations are UNSUBSTANTIATED .

Exit interview conducted with Mateaki. A copy of this report provided.