Complaint Investigation Report

Staff interviews revealed that the resident in question bruises easily and is consistently reminded to be careful when they are walking due to regularly walking into objects. 3 out of 4 residents were non-verbal and unable to be interviewed. The resident who was able to communicate verbally provided information that residents regularly bump into a narrow location of the hallway. Resident interview did not reveal any concerns regarding physical abuse, neglect, or lack of supervision for any resident.

Outside source interviews revealed no concerns regarding lack of supervision, neglect or physical abuse by facility staff. The resident in question has no history of unexplained injuries with their day program, primary care physician, or any other regulatory agency connected to the facility.

During an unannounced facility visit LPA directly observed a resident's shoulder make contact with a corner at a narrow turn in a hallway while they were looking down and walking quickly. LPA also observed two residents nearly make contact with each other due to being in close proximity but unaware of the potential danger. Multiple times during the visit LPA observed staff as they reminded residents to be careful of various objects and each other.

No records reviewed showed indication of physical abuse, neglect, or pattern of lack of supervision by the facility that could have led to the resident in question's injury. Records review revealed that the resident in question takes a number of medications that cause them to bruise easily.

Based on interviews, direct LPA observations and records review, a preponderance of evidence does not exist to prove that the alleged violation(s) occurred, therefore the allegations are UNSUBSTANTIATED. An exit interview was conducted with Rene Doehrer, Administrator, to whom a copy of this report and the Licensee/Appeal Rights (LIC9058 03/22) were provided.