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32 | (Continued from 9099)
Review of log and care notes for R1 indicate that R1 received regular care and supervision including supervision and assistance with continence care and other activities of daily living (ADL’s), as is listed in R1’s care summary. LPA observed that R1’s bathroom has grab bars, a hospital bed with side rails and a hoyer lift for safety and assistance with care. In addition, R1 and all residents of memory care, have call bells in the bathroom and bedroom to call for assistance. Based on review of R1’s records, interviews with staff and R1 and LPA’s observations, the allegation that Staff did not provide adequate supervision, resulting in resident sustaining a fall is UNSUBSTANTIATED. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation is unsubstantiated.
The complaint alleges that Staff did not assist resident with ambulating. LPA reviewed resident R1’s care summary which states R1 is non-ambulatory; uses a wheelchair. Based on the care plan for R1, R1 receives full, hand-on assistance with mobility, which LPA observed staff providing. LPA’s review of the care plan and observation of staff and R1, the allegation that Staff did not assist resident with ambulating is unsubstantiated. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation is unsubstantiated.
The complaint alleges Staff did not assist resident with toileting. The complainant reported the resident requires assistance with ambulating and toileting. LPA reviewed records of care notes and R1’s Care Summary and found that R1 requires frequent assistance with continence care, and staff are providing that on a regular and as-needed basis, with regular and unscheduled escorts and assistance to the bathroom. Based on the logs documenting assistance with continence care the allegation that Staff did not assist resident with toileting is unsubstantiated. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation is unsubstantiated.
The complaint alleges that Staff did not properly report an incident. The complainant states R1 was sent to the ER and even though R1 hit head on something when they fell, R1was able to return to the facility without any injuries. Per complainant a false incident report was submitted.
(Continued on 9099-C)
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