Complaint Investigation Report

R1’s responsible party reported that the facility regularly communicated with them concerning R1 and they were not aware of any other incidents involving R1. R1 has been moved out of the facility on June 29, 2026. 3 out of 3 staff interviewed reported that they were unaware of any other incidents involving R1. Based on the evidence gathered the allegation is deemed unfounded, meaning that the allegation was false, could not have happened and/or is without a reasonable basis.

The investigation into the allegation, staff did not obtain medical care for resident, revealed the following. It was reported that on June 24, 2026, R1 had blood in their urine, and the facility waited hours to call 911. A review of incident reports shows that on June 23, 2026, R1 was noted to have blood in their urine and 911 was called. Staff 1 reported that blood was not noticed in R1’s catheter until around 9:00pm at night and 911 was called immediately. R1’s responsible party was present during the incident and reported that because of this it was decided that 911 should be called. R1’s responsible party reported they don’t know when the blood was first noticed. Staff 1 and the Wellness Director both reported that R1 returned the same day with no new orders. R1’s responsible party reported that R1 was treated and released back to the facility with no new orders. No other witnesses were reported to have been present during the incident. No incident took place on June 24, 2026, involving R1. There is no evidence to support the allegation. The evidence gathered refutes the allegation. Therefore, based on the evidence gathered the allegation is deemed unfounded, meaning that the allegation was false, could not have happened and/or is without a reasonable basis. An exit interview was conducted and a copy of the report provided.