Complaint Investigation Report

Staff who were interviewed did not recall R1 complaining of pain after the falls. Other residents did not witness R1 fall or witness R1 complaining of pain. R1 did not recall the details surrounding the injury but expressed wishes to return to the care home.

Facility notes corroborate that R1 did not complain of back/hip pain until 10/19/2025, when she was unable to get out of bed. There is no information to suggest that R1 remained in pain after her initial complaint in the morning. Staff conducted thorough body checks and completed detailed shift notes, all of which corroborate a lack of complaints prior to R1's hospitalization.

Additionally, notes indicate that staff transported R1 to her scheduled appointment on 10/17 /2025 for R1's pre-existing foot injury.

There is insufficient evidence to suggest that R1 suffered pain which may have warranted emergency medical attention prior to 10/20/2025.