Complaint Investigation Report

Staff did not ensure reporting requirements were followed

Regarding the allegation above, It was reported that R3 made several attempts to report incidents concerning R1 and R2. Staff failed to report the incident so R3 reported it. During interviews, ED and facility staff indicated that no one reported an incident involving R1 and R2 and did not observe any untoward behavior between R1 and R2. Therefore, there was nothing to report to R1 and R2s responsible parties, doctors or to appropriate agencies. During interview, R3 was unable to clarify who they reported an incident to at the facility. Other residents stated that they are able to communicate with staff and will report any emergencies or issues to staff, including going to front desk reception to report issues that require immediate attention.

During today’s visit licensing staff witnessed a resident reporting an issue regarding their emergency pendant. No records were available to verify an incident involving R1 and R2.

Based on interviews and record review, there is insufficient evidence to support the allegation above. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur. Therefore, the allegation is deemed UNSUBSTANTIATED at this time.

No issues/hazards observed during brief visit to deliver report.

Exit interview conducted/Copy of report sent.