- Date
- 6/21/2021
- Report number
- OR0003067605
- Type
- Licensing Violation
- Level
- 1 - No harm or potential for minor harm
- Allegation
- Failed to provide oversight and monitoring of change of condition
- Result
- Substantiated
- Findings
- The allegation that the facility failed to determine and document what actions or interventions were needed for changes of condition including resident specific instructions communicated to staff on each shift, weekly progress notes until the condition resolved and/or the facility failed to refer significant changes of condition to the facility RN for 1 of 3 residents (#1) who had changes of condition related to mobility was verified.