Complaint Investigation Report

Allegation: Resident sustained unexplained injuries while in care

The detail of the complaint alleges that on 3/9/25 at 7:55am, R1 had a busted bottom lip and night staff claimed resident fell but was unable to provide details on how the resident fell. On 3/14/25, LPA interviewed Administrator (A1) who stated that she was aware of the incident and took R1 to Urgent Care for treatment once she became aware of the incident and witnessed his injury. A1 provided LPA copy of aftercare visit paperwork (dated 3/11/25). A1 reported incident to placement agency and CCL. Copy provided to LPA. A1 stated that R1 did not require any stitches at the time of his urgent care visit but was given a supply of antibiotics. LPA interview 4 staff and of those interviewed, (4) of (4) indicated that they are aware of reporting requirements and know who to report incidents to and the time frame that they are to report. LPA interviewed the 2 verbal residents (R2 and R3). Of those interviewed (2) of (2) residents stated that staff tends to their needs. (2) out of (2) residents told LPA that they feel safe at the facility and are treated well. On 3/14/25, LPA review the following documents: body check document (dated 3/10/25), Client Progress notes (dated 3/9/25, 3/10/25), client appointment communication (dated 3/11/25); Incident Reporting Policy, SIRs (dated 3/11/25; 10/23/24) and client progress notes (dated 3/9/25, 3/10/25). Documents reviewed indicate that facility took appropriate steps following the reported incident.

Based on the information gathered, there is insufficient evidence to support the stated allegation.