- Date
- 8/10/2021
- Report number
- OR0003155107
- Type
- Licensing Violation
- Level
- 1 - No harm or potential for minor harm
- Allegation
- Failed to intervene when resident's condition changed
- Result
- Substantiated
- Findings
- The allegation that the facility failed to evaluate resident and refer to facility nurse, after experiencing a significant change of condition the resident experienced a fall, was not monitored, and was unable to walk, care plan was not updated was verified.