Complaint Investigation Report

R1 resides in the memory care unit and is diagnosed with dementia. R1 could not remember the details of the fall. There were no other witnesses to the fall. Based on the information obtained, the allegation is unsubstantiated.

It's also alleged R1 has a pressure injury on the knee. Staff interviewed indicated R1 sustained a small scrap on the right knee from the fall. It would not be diagnosed as a pressure injury. Discharge documents from Methodist Hospital indicates a CT brain scan was performed. There was no evidence of head trauma or any other injuries from the fall. There was no mention of a knee injury. R1 was interviewed and could not report what injuries were sustained from the fall if any. Based on the information obtained, the allegation is unsubstantiated.

The last allegation states R1 had torn, ripped or stretched out clothing when the fall occurred. Staff interviewed indicated R1 does have some older shirts that he/she will wear at bed time. Staff interviewed denied R1 was pulled from his/her clothing while being assisted after the fall. R1 could not report what occurred during the fall due to a dementia diagnosis. R1's family did not have any concerns regarding the care being provided at the facility. Based on the information obtained, the allegation is unsubstantiated.

Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are unsubstantiated.

Exit interview held. A copy of the report was provided to Administrator.