Complaint Investigation Report

During the visit, LPA conducted interviews, documented observations, and conducted records reviews. LPAs interviewed staff who stated that R1 was using a belt in the past due to R1 having falls at the facility, but are no longer using the belt. LPAs observed R1 in the dining table and did not observe a belt on R1's wheelchair. Staff interviewed stated that the belt had not been prescribed by a physician. LPAs observed R1 had their hands on the grab bars of the wheelchair, appeared to be trying to get up from the wheelchair.

Therefore, the allegation that R1 was using a belt preventing them from getting up from their wheelchair is substantiated. A finding of substantiated means the preponderance of the evidence standard has been met.

An exit interview was conducted with the Licensee,Smilja Milosavljevic, where this report along with LIC9099-D page and appeal rights were reviewed and provided to them.