Complaint Investigation Report

The functional capability assessment was conducted via tele-visit, by the administrator in training, who was a licensed medical professional. On 02/10/2020, Upon admission to the facility R1 was identified by the facility staff as a fall risk resident requiring close supervision. Although facility staff had knowledge that R1 must be under the staff supervision all the time, between 02/17/2020 and 03/05/2020 R1 had two (02) fall incidents with injuries and both times staff stepped away and was not present at the time of fall. Between 03/17/2020 and 05/23/2020 IB investigator reviewed various facility records as well as medical records obtained from the hospital. The information revealed from the documents verified and the information revealed from the interviews.

Therefore, based on the interviews and record review, the allegation is SUBSTANTIATED at this time.