Complaint Investigation Report

but there were no reports or documentation from attending staff recorded that R1 had a fall.

Interviews made with the administrator deny the allegation. Administrator confirmed that R1 requires a one to one staff, and needs to be within arms length of R1 at all times. Internal investigation made, and staff on duty on those dates, R1 was never left unattended. Interviews with four (4) of four staff also deny the allegation. Staff indicated that if they need to go on break, a supervisor gets notified for coverage, and that staff cannot leave R1's side until there is coverage. In regards to R1, staff adds that R1 has a history of skin breakdown, and has a tendency to on their skin, and bruising can occur.

Review of facility records confirm that R1 does require on going 1 to 1 supervision. Daily progress notes for 07/30/24 and 07/31/24 reveal no documentation of any falls. R1's assessments also reveal that R1 has skin lesions.

Based on the information obtained, there wasn't enough evidence to prove that R1's injury was due to the absence of staff, or R1 being unattended by staff. Therefore, the allegation is deemed Unsubstantiated at this time.