Complaint Investigation Report

Record Review, and Interviews with Administrator revealed that R1 did not have a history of falls and is ambulatory, R1 did not have a fall plan. Interviews were conducted with R1’s Roommate. They stated that “they had only moved in with R1 for about a month but had never witnessed them fall.” Interviews with R1 stated that no one saw the fall, hadn’t fallen before, and did not feel neglected by the facility, R1 stated they did not remember how they fell.

Based on Interviews Conducted, and Record Review the Department finds that this was an isolated incident,

“Although the allegation may have happened or is valid, there is not preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation is unsubstantiated.”

Exit Interview Conducted, A copy of this report provided. No citations issued