Complaint Investigation Report

Staff 1 stated they did not further assess the injury as the resident became agitated and refused assistance. Staff 1 also stated that although they suspected the resident may have been injured, they did not notify the administrator at that time and did not seek medical attention for the resident. Staff 1 stated they documented the incident later in their shift. LPA also interviewed facility Administrator, who stated they became aware of the incident after reviewing staff notes and that the resident was later sent for medical evaluation. Based on interviews conducted, staff observed a visible injury to the resident and acknowledged concern that the resident may have been injured. However, staff 1 failed to notify administration in a timely manner or ensure the resident received timely medical assistance. Based on interviews conducted, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED.

The following deficiencies are being cited Per Title 22 Regulation.

Exit interview conducted with facility Administrator Nancy Cudal, and a copy of this report along with appeals rights provided.