Complaint Investigation Report

Allegation: “Staff improperly transferred resident resulting in injury”, it is being alleged that staff improperly transferred R1 resulting in their right knee being injured. Interviews conducted with R1 revealed the following: R1 denied the allegation, furthermore, R1 indicated that their right knee was not injured and their right knee does not hurt. Interviews conducted with W1 to W3 revealed the following: 3 out of 3 witnesses denied the allegation. Interviews conducted with W1 (is a medical professional) revealed the following: W1 indicated that on 01/08/2026, they did not observe any injuries or bruising on R1’s right knee, furthermore, W1 states that the next day a Physical Therapist tested W1’s right knee and did not observe any injuries on W1’s right knee. Interviews conducted with S1 to S4 revealed the following: 4 out of 4 staff denied the allegation. R1’s records reviewed revealed the following: there are no Unusual Incident Reports nor Medical Records indicated that R1’s right knee was injured. In-Service Staff Trainings revealed the following: staff were training on Gait Belt transfers throughout the year of 2025 for example, Gait Belt Transferring dated 01/28/2025, Gait Belt and Proper Body Mechanics Training dated 12/01/2025, Transferring and Gait Belt Transfers dated 12/23/2025. Based on interviews and records reviewed this allegation is unsubstantiated. 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.