Complaint Investigation Report

Information obtained from Administrator stated that R1 did not develop pressure injuries from the fall on September 2, 2022. Administrator further indicated that R1 did not sustain any pressure injuries while placed at the facility. Information obtained from additional staff interviews corroborated that R1 did not sustain pressure injuries at any time while placed at the facility. Information obtained from resident records did not report that R1 sustained pressure injuries from falls. Medical records pertaining to the fall, revealed R1 sustained a head laceration and first- and second-degree burns. No information indicated that a pressure injury was sustained.

Based on staff interviews, emergency personnel reports, facility records, the allegation staff neglect resulted in a resident sustaining multiple pressure injuries, we have found that the complaint was unfounded, meaning that the allegations were false, could not have happened and/or are without a reasonable basis. An exit interview was conducted, and a copy of this report was provided along with LIC811- Confidential Names list.