Complaint Investigation Report

Based on the statements provided by staff present during R1’s fall on 9/11/2024, there would have been little they could do to prevent R1 from falling. R1 had been on fall precautions since April of 2024, and R1 is assisted to and from bed by staff and taken into the community during the day for more supervision. R1 receives frequent checks while in her room during the evening hours. R1 was also provided a fall mat alongside their bed, and their bed was lowered to its lowest position.

Based on the above information. The allegation of Neglect/Lack of Care and Supervision of R1 suffering a fall and sustaining serious bodily injury will be Unsubstantiated . Exit interview conducted and a copy of this report provided.