Complaint Investigation Report

Resident sliding down recliner chair without staff within immediate proximity/direct supervision:

Facility staff didn't respond within acceptable time period when resident was calling for help:

On 3/4/2022, LPA interviewed ADM and two staff (S1, S2). S1, S2 and ADM stated that on 2/8/2022, a witness (W1) Observed a resident (R2) slid down in a recliner chair in the living room without staff supervision in the living room.

S1 and S2 R2 was in the living room in his/her recliner chair. Staff left R2, as a usual routine, while assisting residents in the facility. They stated it took them about 5 minutes to assist a resident who required transferring. They stated that R2 slid a little bit in the recliner chair wherein they repositioned R1's posture.

On 3/4/2022, LPA conducted an interview with ADM who stated R1 was assessed by staff and found to have no injuries.

Based on the investigation and interviews conducted, resident was observed sliding from a recliner chair without supervision. The resident did not sustain a fall that result in an injury. staff repositioned resident in his/her recliner chair immediately upon observing resident's body posture.

Resident did not receive refund money within 10 days after moved out from facility:

On 03/4/22, LPA interviewed ADM. ADM stated that a cashier check was issued and sent to R1’s primary address on 2/17/22, on the 7 th day after R1 moved out from the facility.

ADM stated he/she called R1 and left message on 3/7/2022. ADM stated he/she did not get any response from R1. ADM was not sure if the cashier check was lost in the mail. ADM stated he/she cancelled the cashier check on 3/8/2022.