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- Transferring And Positioning TechniquesRestraints & mobility
Inspectors found that staff used an unsafe device when helping a resident transfer, which resulted in an injury that caused the resident significant pain.
- Falls Prevention And ManagementFalls
Inspectors found that staff did not follow the home's fall prevention policy when a resident was found on the floor with injuries. Staff stated they were not alerted by the resident's communication device and had not checked the device at the start of their shift.
- Pain ManagementPain
Inspectors found that when a resident's pain was not relieved by initial treatment, the home did not use a clinically appropriate assessment tool to further evaluate the pain, resulting in poor pain management and a lack of additional interventions.