Complaint Investigation Report

On allegation that staff did not respond timely to a resident's alerts the following are the findings. Resident 1 (R1) was admitted in the facility on January 24, 2022. On admission, R1 was agitated. Staff evaluated resident and determined the need to transfer resident to hospital for further evaluation and management. On February 2, 2022, R1 was discharged back to the facility. Since then R1 had three fall incidents wherein R1 sustained skin tear. Staff evaluated the resident and administered first aid treatment when necessary, and placed resident under observation. On February 18, 2022 R1 had an unwitnessed fall. Staff evaluated the resident and determined the need to transfer resident to hospital for further evaluation and management. LPA is unable to ascertain if the allegation occurred as reported. Although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove or refute the alleged violation occurred; therefore, this allegation is deemed UNSUBSTANTIATED.

LPAs Marin and De Perio conducted an exit interview with AD Dunagan and copies of this report were left in the facility.