Complaint Investigation Report

Based on interviews with staff, medical professionals and residents, they could not prevent R1's fall. R1 was placed in common areas for greater observation. R1 was placed in the hallway and in the living room so that R1 may be monitored more closely. Although R1 was a fall risk, according to Title 22, Personal Rights, the facility may not restrain a resident to prevent falls from a bed or chair. Facility does not have the capability to provide one on one care in order to prevent falls.

The Department has investigated the above allegation. Based on interviews and records reviewed, the Department found that the above allegation is UNSUBSTANTIATED. An unsubstantiated finding indicates that although the allegation may have happened or is valid, there is not a preponderance of evidence to prove that the allegation did or did not occur.

LPAs review this report with Marie Louise Harris Executive Director and a copy provided.