Complaint Investigation Report

On 11/19/2023, client (C1) went to Urgent Care, and he had a left tibial fracture from a fall on

11/16/2023 when he slipped in the shower. The staff interviewed stated C1 fell several times at the facility, but those incidents were not documented in a General Event Report (GER). The staff

were unable to provide specific dates or details of what caused C1 to fall. 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.

Exit interview conducted, report signed and copy of this report provided for facility records.