Complaint Investigation Report

Based on record reviews, there were several incident reports submitted by facility to Licensing documenting discoloration of skin on R1 . Along with these reports are witness accounts where R1 was rough handled by a visitor . R1s recent needs and services plan includes full assistance due to R1 being combative and fighting staff when being aided with activities of daily living. Staff were also trained and re-trained for Patient Transfer and Activities of Daily Living. R1s medication list was reviewed and none of it may cause the resident to easily bruise.

Therefore, based on interviews & records review, the department has determined that although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED.