Complaint Investigation Report

Per review of records, including facility and medical documentation, no information documented neglect/abuse regarding the incident of R1 on 1/30/24. R1 is not a one to one care resident, and at the time of the fall didn't need one to one care. Currently the resident has physical therapy, and a companion two to three times a week for a few hours to help with exercising. In review of allegations, information obtained, interviews with staff, and other related parties, there was no information obtained that supported that a violation had occurred, regarding the allegations.

Based on the interviews, record/document reviews, and related information obtained during the investigation, the allegations of "staff neglect resulted in a resident being hospitalized, and staff neglect resulted in a resident sustaining a fracture while in care." are Unsubstantiated, meaning that although the allegations may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur.

Exit interview was conducted with the Administrator Eric Perry