Complaint Investigation Report

Interviews revealed that the client was going through a traumatic time and the stress from the incidents with the father brought on this catatonic stated where the client slowly and heavily decompensated. Interviews revealed the staff did all they could by taking C1 to the doctor and medical appointments along with working with SDRC to get C1 back to their baseline. Interviews revealed after months of rehab and the client being a skilled nursing facility the staff was able to assist the client and bring them all the way back to a normal baseline.

It was alleged neglect/ Lack of Supervision resulting in multiple falls. interviews revealed the staff supervise the clients. There are XX staff with the clients at all times. Facility’s records revealed XX staff being present during the incident in question. Staff denied that the lack of supervision resulted in C1 having multiple falls. LPA reviewed C1s physician report and confirmed that C1 doesNOT require constant supervision. In addition, C1 was unable to be interviewed due to their cognitive state at the time of the first visit.

Based on the evidence obtained from interviews, and record review, the complaint allegations of the facility did not seek medical care and neglect/ Lack of Supervision resulting in multiple falls are found to be unsubstantiated; as there is not a preponderance of evidence to prove the alleged violations did or did not occur.

An exit interview was conducted with Najah Rzock, Administrator and a copy of this report along with Licensee/Appeal Rights (LIC 9058 03/22) was provided at the conclusion of the visit