Complaint Investigation Report

Administrator and staff interviewed denied the allegation and stated that R1 has not had a fall at this facility. Administrator stated that in December 2021 R1 was hospitalized due to GI issues and had surgery, and returned to the facility in January 2022 with a wheelchair. Home health provided physical therapy for a couple of weeks, but the resident remained wheelchair bound. LPA attempted to interview R1, but R1 stated does not remember having a fall and only commented about having knee surgeries. R1 was unable to provide any other details regarding the surgeries or the reason why R1 is wheelchair bound. Review of R1's file revealed the following: R1 was admitted to this facility on 09/15/2021. Physician report dated 09/08/2021 states that R1 is ambulatory and may use walker or wheelchair. Preplacement Appraisal dated 09/14/21 states that R1 had left knee surgery on 08/30/2021 and walks with a walker. The Appraisal/Needs and Service Plan dated 09/15/2021 also state that R1 walks with a walker. Incident report dated 12/10/2021 states that R1 was sent to the hospital on 12/09/2021 due to black vomit and stool. Incident report dated 12/22/2021 states that R1 returned back to the facility on 12/15/2021 with lots of pain on the left knee and ended being sent again to the hospital on 12/18/2021 for black vomit and stool again. Incident report dated 01/07/2022 states that R1 returned to the facility after being hospitalized from 12/18/2021 to 01/07/2022 and had a surgical intervention over the course of GI bleeding. The Appraisal/Needs and Service Plan dated 09/15/2022 states that R1 is wheelchair bound. There are no records or incident reports stating that R1 had a fall. R1's Responsible Representative 1 confirmed that R1 returned to the facility from the hospital on a wheelchair in January 2022 after having gallbladder surgery and since then has been on a wheelchair. There is no records or evidence to support that the resident is wheelchair bound due to a fall.

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 unsubstantiated.

Exit interview held and a copy of the report was provided