Residential Care Services Investigation Summary Report

Provider/Facility: 1 AAA Absolute Home Care LLC(918635)

Intake ID(s): 3375555

License/Cert. #: AF752976Investigator: Howard, Kelly Region/Unit: RCS Region 2/Unit A Investigation

Date(s):07/17/201707/27/2017

through

Complainant Contact Date(s): 07/17/2017Allegations:1. The provider failed to call the named resident's family or summon medical assistance immediately after the named residentfell and sustained injuries.

Investigation Methods:Sample: 2 current and 1 former

resident (the namedresident)

Observations: Environment, careprovision, staff toresident interactions

Interviews: 2 current and 1 formerresident (the namedresident), provider,caregivers, Home andCommunity Services casemanager

Record Reviews: Assessments, negotiatedcare plan (NCP), progressnotes, hospital records,incident log

Allegation Summary:1. The named resident was assessed as a fall risk and the resident required a for ambulation. When interviewed thenamed resident stated fell when attempted to ambulate without requesting assistance from staff. said started to hurt two hours after the fall and continued to hurt until taken to the hospital for strain over 12-hours afterthe fall. When interviewed, the provider stated he did not immediately notify the named residents physician or representative.He stated he did not make the required notifications until he noticed bruising on the named residents thefollowing day.

Unalleged Violation(s):None

Yes No

Conclusion /Action:

Failed Provider Practice Identified /Citation(s) Written

Failed Provider Practice Not Identified /No Citation Written

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Residential Care Services Investigation Summary Report

WAC 388-76-10225(2)(b)(c) Reporting requirement

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