Complaint Investigation Report

According to the interviews with facility staff, hospice care staff, and family member, R1 is bedridden and hardly moves while in bed. R1 has never attempted to climb out of bed without assistance and R1 has never been found on the floor after an unwitnessed fall. Hospice nurse, H3 stated he/she does not believe R1 suffered a fall.

There is no evidence or witnesses to corroborate the allegation of Neglect/Lack of Care and Supervision resulting in R1 sustaining a fractured left arm.

Based on interviews and records review, the department has determined that 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.

An exit interview was conducted and a copy of this report along with Licensee Rights (LIC 9058 03/22) were provided to Medical Technician Gloria Castro , whose signature below confirms receipt of these rights.