Complaint Investigation Report

Facility surveillance reviewed revealed that at 6:49am on December 17, 2025, R1’s bedroom door was open and at 6:59am, R1 walked through going towards the common area without a walking aid and fell. At 7:01am, staff arrived to assist resident and assess. Interview with Executive Director revealed that R1 was sent out for a medical evaluation. Interview with outside source, established that they have no concern with the care R1 was and is currently receiving at the facility.

Based on records and interviews there is not a preponderance of evidence to prove alleged violation occurred, therefore th e allegation is unsubstantiated. An exit interview was conducted with Executive Director, to whom a copy of this report, and the Licensee/Appeal Rights (LIC 9058 03/22) were provided.