Complaint Investigation Report

It also indicated R1 required mobility assistance with their wheelchair, and one person assist with transfers. Staff interviews revealed when R1 first moved in, they were independent. As time went on, R1 declined and required assistance with transfers and toileting. However, R1 was known for getting up without assistance. Outside source (OS) interviews revealed R1 will get up and not request assistance, due to their medical condition. OS confirmed R1’s needs were being met at the facility. OS confirmed visiting the facility daily as well as different times of the day and observed R1’s receiving care and supervision. R1 was interviewed but unable to recall the incident due to a medical condition that affects their brain. The facility conducts safety checks along with incontinence care to residents but does not provide one on one care. Residents use the bathroom in their private apartment, there's no way for staff to know, unless the resident calls for assistance.

During the course of the investigation, interviews were conducted, and records were reviewed. Investigation revealed inconsistent statements and information obtained did not present a preponderance of evidence to support or corroborate the allegation. The allegation was deemed unsubstantiated. An exit interview was conducted and a copy of this report along with Licensee Rights (LIC 9058 03/22) were emailed to Executive Director, Meegan Kline.