Complaint Investigation Report

Regarding the allegation: Staff restrain resident. It was alleged staff would strap R1 to their wheelchair. To investigate the allegation, LPA attempted to interview five (5) residents and one (1) staff member. LPA attempted to interview R1, but they no longer reside at the facility. LPA attempted to interview R2-R5, but due to their inability to validate the questions being asked, LPA terminated the interview. LPA’s interview with S1 revealed they would use a “seatbelt” that is attached to the wheelchair to prevent R1 from falling. When questioned if R1 had a physician’s order for the postural support of the seatbelt to the wheelchair, S1 stated, “No”. During LPA’s physical plant tour LPA observed three (3) wheelchairs. LPA observed one (1) of the three (3) wheelchairs to have a seatbelt attachment to the wheelchair. When questioned if the current residents residing in the facility have physician’s order for the postural support observed on the wheelchair, S1 stated, “No”.

Based on interviews and observation, S1 stated R1 did use such postural support due to fall risk and LPA observed there to be a wheelchair with said postural device attached. Therefore, the allegation is SUBSTANTIATED at this time.

Citation issued, please refer to LIC 9099-D.

No other immediate health and safety issues observed during the day of the visit. Exit interview was conducted, appeal rights given, and a copy of this report was provided to the Administrator.