Complaint Investigation Report

LPA did not observe any bruises on R1. Because there are several versions of events, LPA cannot prove or disprove the allegation, therefore, the allegation is unsubstantiated .

LPA reviewed R1's facility file, interviewed caregivers and was unable to interview the resident who moved out due to their injuries. The facility incident report stated the resident was observed earlier in the day attempting to get up without assistance and a caregiver was walking by and was able to assist the resident from getting up. A short time later the caregiver heard a sound come from the resident’s room and found the resident on the floor. The facility records and interviews all state the resident did not have a history of getting out of bed without assistance and would wait for someone to show up to assist after pressing the call button. All caregivers interviewed stated that residents who are identified as fall risks have frequent checks. Residents stated caregivers constantly walk around checking on residents. The regulations require a written plan of care that tells caregivers what residents require assistance with and approximately how often a resident should be checked on. The regulations require the facility to update the plans of care when there is a change in condition or every 12 months; whichever comes first. There are times where a resident requires one-on-one supervision and when that happens the facility may provide the caregiver, or the family may provide the caregiver and there’s a written agreement addressing the issue. LPA cannot prove or disprove the lack of staffing and supervision has caused injuries to residents. Allegations unsubstantiated