Complaint Investigation Report

happy to take clients back, but with a spinal injury a higher level of care would be needed until Client C1 would be able to be readmitted.

Interview with Client C1 who stated he just got back to the facility last nite and he did physical therapy at the hospital.

Stated that the hospital didn't talk to him about coming back to the facility until yesterday.

Said he has to take his medication and put a patch on his back.

Spoke with representative from the hospital who stated that he knows Client C1 was returned to the facility last night, but does not know what transpired from admission to discharge and only knows that he was cleared and returned 01/20/25.

Interview with Assistant Administrator who stated that Client C1 had a lower back injury and he had physical therapy and was cleared to come back yesterday 01/20/25.

Said they always accept clients back, but with a spinal injury they need approval from the facility doctor.

Spoke with Staff S1 who stated that initially Case Manager from DMH contacted the facility doctor who said Client C1 can't come back with spinal injury and needs more therapy.

After a week Client C1 was cleared to come back after physical therapy at the hospital.

Spoke with Staff S2 who stated that discharging a patient they take back right away. If there is a medical condition such as a fracture they have to confirm with the facility doctor first. They want to make sure that Client C1 was fully recovered.

On 01/20/25 the hospital called and said physical therapy was completed and Client C1 could return.

Hospital also did a referral for Home Health to be provided for Client C1.

Interview with Staff S3 who stated that because of Client C1's spinal injury he would need more care.

Facility doctor communicated with the Case Manager and said Client C1 needed more care before being cleared to return to the facility.

Interview with Client's C1- C7 who all stated that staff provides medical assistance promptly and whenever needed.

Client C2 stated that he stayed overnight at the hospital and the facility accepted him back right away.

Client C6 stated that he witnessed a client having a seizure and the staff were right there immediately providing medical assistance.

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 .