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13 | Licensing Program Analyst (LPA) Robbie Johnson contacted the facility via telephone due to Covid-19 to deliver findings for the above allegation. LPA met with Shanon Gordon, Resident Service Director and discussed the purpose of today’s visit. The department investigation included file review, interviews with staff/residents/witnesses, and review of pertinent records.
Interviews and record reviews conducted by the department revealed that facility staff followed proper fall precautions when R1 fell. On June 12, 2020, R1 had an unwitnessed fall. R1 was transported to the hospital and diagnosed with a right humerus fracture. R1 was returned to the facility with a cast. Three days later R1 returned to the hospital because the initial cast needed to be replaced. No additional injures were found. Based on the investigation, no supporting evidence was found that indicated that the injury that R1 sustained was due to staff neglect. Therefore, the allegation is UNSUBSTANTIATED; meaning that 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. A copy of this report was reviewed with and provided to Shannon Gordon.
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