Complaint Investigation Report

thereafter could not maintain this standing position and had started to fall down.

It was learned that one of the facility staff reacted and pushed R1 onto R1's bed in order to avoid the resident falling onto the floor possibly sustaining additional injuries.

It was learned that facility staff then proceeded to reposition R1 in order to turn and pivot R1 to lay correctly in R1's bed. It was learned that the facility resident was solely dependent on the (2) caregivers to assist her in this process so that R1 could be repositioned correctly in R1's bed.

It was learned that the facility caregivers attempted to maneuver R1 in R1's bed without grabbing or pushing the resident excessively to prevent further injuries and bruising. It was learned that, at no point in this whole incident, did the facility caregivers climb onto R1 while trying to turn her. In addition, it was learned that the facility caregivers did not ever use their knees to push or pivot R1 while R1 was laying in the bed.

As a result of this investigation, this Department found the allegation to be UNSUBSTANTIATED. A complaint allegation finding of Unsubstantiated meant that although the allegation may have happened or was valid, there was not a preponderance of the evidence to prove that the alleged violation occurred.

There were no deficiencies observed or cited at this time.