Complaint Investigation Report

Staff interviews report that Staff #3 (S3) came to assist by getting R1 a wheelchair to assist with transferring R1 back into the facility. Interviews with staff reported that no immediate injuries were observed as a result of the behavioral episode. Interviews with staff report that the following day, S3 was assisting R1 with toileting. When R1 got up from the toilet seat, S3 observed blood and some of R1’s skin stuck to the toilet seat. Upon immediate assessment, S3 observed R1’s skin to be burned with blistering. S3 reported to contact Administrator and R1 was transported to the hospital for assessment. LPA attempted to interview R1 but attempt was unsuccessful due to R1’s cognitive abilities. A review of R1’s care plan does not report there to be any known behaviors.

Therefore, the allegation of resident sustained unexplained injury is deemed unsubstantiated. A finding that the complaint is UNSUBSTANTIATED means although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegations are unsubstantiated at this time.

An exit interview was conducted and a copy of this report was provided to the Administrator.