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32 | Another report was received alleging facility staff did not safeguard R1's money, when $50 was discovered to be missing on or around July 23, 2020. R1 was interviewed and reported the incident did take place, though no details were known as to how the money went missing. A file review was conducted, and no reports were found regarding the matter. One staff interview revealed an internal investigation was conducted regarding the matter; however, no further information was available. Therefore, due to insufficient information, this allegation is deemed UNSUBSTANTIATED at this time.
It was also reported R1 sustained multiple falls while in care at the facility. R1 was interviewed and reported they did sustain one fall while in care of the facility. The resident reported the one fall did not take place in July 2020. It was also reported the fall resulted in the resident sustaining a bruise. The resident's hospice agency was contacted and reported there was only one fall reported to have taken place on July 26, 2020. A record review was conducted; a Hospice Aide Communication Note, dated July 27, 2020, revealed R1 was observed to have discoloration on the right side of ribs, as well as the right and left side of arms. Therefore, due to insufficient information, this allegation is deemed UNSUBSTANTIATED at this time.
In addition, it was also reported facility staff allegedly did not report R1's falls to the resident's hospice care agency. R1 reported to have had only one fall while in care of the facility. R1's hospice agency reported being notified of only one fall for R1 on July 27, 2020. Staff interviews reported having no knowledge of any falls sustained by the resident. Two Resident/General Liability Incident Reports were obtained by the LPA; each documenting slips/falls sustained by the resident. The first report shows a slip/fall occurred on July 20, 2020; however, the report was not completed, leaving details of the incident unfinished. The second report shows a slip/fall occurred on July 26, 2020; according to the report R1 was found on the floor near restroom and the resident stated they lost their balance. Therefore, due to a lack of information, this allegation is deemed UNSUBSTANTIATED at this time.
A finding that the complaint is unsubstantiated means that although the allegations may have happened or are valid, there is not a preponderance of the evidence to prove that the alleged violations occurred.
This report was reviewed with BOC Serrano and a copy was provided. |