Complaint Investigation Report

The facility had no notes for the falls and no updated needs and services plan for R1. On 09/18/2024 the staff informed the family that R1 was transported to the ER due. Once at the hospital it was reported the R1 had injuries to R1’s head. The facility needs and services plan didn’t meet the needs of R1 needs due R1’s falls that were reported from the reporting party. The facility didn’t report the falls to licensing as well R1 going to the hospital.

Based on reviewed facility paperwork, interview's with staff, and reporting party information, the information provided, it clear that resident sustained multiple injuries due to lack of care from staff therefore the allegation was deemed SUBSTANTIATED.

As a result of this investigation, this LPA found the allegations to be SUBSTANTIATED - A finding that the complaint was Substantiated meant that the allegation was valid because the preponderance of the evidence standard had been met.