Complaint Investigation Report

Regarding Allegation #1 : Resident sustained injury while in care.

The complaint alleges that R1 sustained injury when R1 fell out of elevator onto the facility 2 nd floor. On 05/20/2022 LPA Calderon interviewed A1 who expressed that R1 was seen leaving by facility staff in R1 wheelchair around 6pm as R1 was doing some shopping. A1 expressed that R1 called a taxicab and then returned to the facility around 10 pm with shopping bags on the back seat chair of R1 wheelchair and a twelve pack of soda on R1 lap. A1 expressed that S2 noticed resident was having issues moving in the wheelchair and helped resident to resident room on the second floor. A1 expressed that S2 asked R1 if R1 needed help and R1 agreed. On 02/17/2023 LPA Calderon interviewed S2 who expressed that S2 noticed R1 struggling with R1 grocery bags and the 12 pack of soda while moving R1 wheelchair. S2 expressed that S2 helped R1 to the elevator with all his bags of food. S2 helped R1 into the elevator and pushed the second-floor button. S2 expressed that S2 got out of the elevator 2 as R1 started to push R1 wheelchair forward. S2 expressed that R1 front wheel of R1 wheelchair got stuck between the elevator and the second floor and resident fell forward contacting the 2 nd floor landing. S2 expressed R1 had minor scrape to left eye area but there was no major blood found on the ground and R1 had no other injuries. S2 expressed that S2 helped R1 get up from the 2 nd floor landing after the fall when another resident opened their front door. On 02/17/2023 LPA Calderon reviewed physician report (02/08/2022) which suggest that R1 is capable to taking care of R1 needs. LPA Calderon reviewed hospital records (05/07/2022) and reported minor scrape to resident left eye area. Per hospital records R1 was discharged to the facility on 05/07/2022 which was the same night as the incident.