Complaint Investigation Report

The service coordinator did not have any concerns regarding the incident and felt that staffing was not an issue. Furthermore, the service coordinator indicated that the resident was redirected away from the other consumer and the injury occurred accidentally due to C1's behaviors. At the time of the incident, there were 5 residents and 4 staff at the facility working with the consumers. Immediately after the consumer was injured, staff called 911 and the wound was treated at a local hospital.

Based on interviews with the facility administrator, C1's service coordinator and with facility staff as well as documentation review, it is determined that the staff did do everything to prevent C1 from injuring another resident. Although C1 was injured, staffing appeared to be sufficient, therefore this allegation is deemed to be unsubstantiated.