Complaint Investigation Report

Regarding the allegations " staff do not rotate resident as needed ", it is alleged that R1 is bed bound and not being rotated every 2 hours. Administrator and staff denied the allegation and stated that R1 was not bed bound and spent most the time on a wheelchair in the living room and when R1 was on the bed they provided rotation every 2 hours. Review of R1's physician report dated 04/21/2023 shows that R1 was not bedridden instead R1 was non-ambulatory. LPA observed 4 out of the 6 residents in wheelchairs in the living room. The other 2 residents were in bed and stated that staff do come and rotate them. All residents interviewed could not corroborate the allegation.

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

Exit interview held and a copy of the report was provided