Complaint Investigation Report

R1 gave conflicting statements about having a walker at the time of the fall. R1 reported that they lost their balance and fell. R1’s DPOA did not recall anytime that they visited R1, that R1 did not have their walker. Staff gave conflicting statements regarding the placement of the walker. Staff 1 (S1) who was in the area at the time of the fall, but was assisting another resident, reported that R1 had their hands on the walker at the time of the fall. R1's Needs and Services Plan states that they are to have their walker near them. In addition, the facility has put additional fall risk prevention procedures in place for R1.

A finding that the complaint allegation of “Neglect/Lack of supervision resulting in resident sustaining severe injuries and hospitalization” is UNSUBSTANTIATED.

A finding that the complaint is Unsubstantiated means that although the allegations may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur.

Exit interview conducted. Copy of report discussed and provided to Administrator. Signature on form confirms receipt of documents.