Complaint Investigation Report

In regards to the allegation "Staff did not seek timely medical care for client in care" it was alleged that C1 had a fall in the facility and was not provided medical care in a timely manner. (2) of (2) Staff interviewed denied the allegation. (3) of (3) Clients interviewed could not corroborate the allegation. Interviews show that C1 had a fall in the facility on 3/17/23 when they attempted to lift a heavy chair and it fell on C1 chest/shoulder. Interviews stated that C1 was assessed and no medical treatment was provided as it was determined to not be needed after the initial injury. File review shows that C1 had another fall on 3/18/23 while in the bathroom where staff was present and first aid assistance was provided for a cut on the toe. Interviews with staff show that staff noticed the bruising on C1 began to show on the upper back. The bruising spread from their upper back to the front shoulder but C1 was not provided further medical assistance until 3/25/23. Interviews with staff stated that on 3/25/23 C1 was having general weakness and was unable to get up so that is why paramedics were finally called. This shows that the facility failed to seek medical attention in a timely manner for the bruising that spread from back to the front side of C1s shoulder between 3/17/23 up to 3/25/23. Based on interviews, record review and observations the preponderance of evidence standard has been met, therefore the above allegations are found to be SUBSTANTIATED. Per Title 22, deficiencies are cited.

Exit Interview conducted. Appeal rights discussed. A copy of this report and appeal rights were provided.