Complaint Investigation Report

Within 15 minutes of R1s return to the facility, R1 sustained a fall. At the time of the fall there were a total of four (4) staff in the memory care, with a census of 21 residents in the unit.

To date R1 has not returned to the facility due to being transferred to a skilled nursing facility.

The documentation reviewed indicate that R1 may have been discharged too soon, due to the on-going behaviors that they were exhibiting, based on interview and record review the allegation of Resident sustained a fall while in care is UNFOUNDED. A finding that the complaint is unfounded means that the allegation is false, could not have happened, and/or is without a reasonable basis.

An exit interview was conducted, and a copy of this report was provided to Executive Director Lance Reth.