Seminary Manor

walking down some steps (and) did sustain a fracture of the left hip. (R2) is Non weight bearing and is Non ambulatory at this time.

Diagnosis: Closed Fracture of Left Hip.R2's Nursing Progress Notes, dated 9/09/2025 at 10:19 A.M. document, This nurse was standing outside (R2's) room when a loud noise was heard and (R2) started to yell.

This nurse entered the room and (R2) was noted to be laying on the bathroom floor with gait belt around waist. (R2) had her walker under her legs. (R2) was laying on her back. (R2) had a gash to bridge of her nose, her glasses were in place. (R2) had a laceration to her forehead and to her right upper arm.

Cold compresses were applied to (R2's) forehead and to bridge of nose to help stop the bleeding. (R2) was (complaining) of leg pain. (R2's) right leg did have external rotation noted. (R2) denied any head or neck pain.

Blanket was placed under her head. 911 was called for transport to Emergency Room.

Emergency Medical Transport placed a sling under (R2) and manually lifted (R2) onto the stretcher. (R2) was alert and orientated and talking with staff the entire time.R2's Nursing Progress Notes, dated 9/09/2025 at 1:33 P.M. document, (R2) being admitted to hospital for multiple broken ribs at this time.R2's (Hospital) admission History and Physical, dated 9/9/25 documents, (R2) arrived at the emergency room from (the facility). (R2) was sitting on (the) toilet when she lost her balance and fell onto the floor. In this fall, (R2) suffered a laceration to her right forehead. (R2) has some skin tears to her left knuckle and right elbow.

There is an abrasion to her chin.

There is some bruising and swelling over her right clavicle and an abrasion and bruising on her nose. (Computerized Tomography/CT) of (R2's) head showed soft tissue thickening consistent with contusion of the scalp. CT of (R2's) facial bones showed contusions and hematomas. CT Angiogram of (R2's) chest showed right supraclavicular contusion and hematoma and nondisplaced fractures of the posterior left 8th and 9th ribs.R2's (facility) Nursing Progress Notes, dated 9/16/25 document that R2 was returned from the hospital. On 9/17/25 at 10:05 A.M., R2 was up in a wheelchair in her room. R2 was alert and able to answer questions appropriately.

Extensive bruising was present no to (R2's) entire face, neck, hairline and visible arms and legs. A healing laceration was present to (R2's) right front forehead. At that time R2 stated, 'I'm in so much pain.

They left me in the bathroom.

They weren't supposed to, and I fell and broke my ribs. I can't hardly move anymore.On 9/17/25 at 11:07 A.M., V6/Certified Nursing Assistant (CNA) stated she was the CNA the day that (R2) fell. V6/CNA stated that R2 had been (in the facility) for a couple of months and we were trying to get (R2) to do more for herself. V6/CNA stated that (R2) had been in therapy and she thought R2 she was getting stronger. V6/CNA stated she walked R2 from just outside of her bathroom, with a gait belt and set her on the toilet and left.

V6/CNA stated she walked down the hall to (another hall) and was standing there charting. V6/CNA stated she heard a yell and when she got to (R2's) room that (V3/Licensed Practical Nurse) was already in the room. V6/CNA stated that (R2) was bleeding pretty bad and was complaining of a lot of pain. V6/CNA stated she usually stayed with (R2) when she was in the bathroom, or stood right outside of the bathroom door, with the door cracked. V6/CNA stated (R2) had been in therapy and gotten so much stronger, I thought (R2) would be okay if I walked away.On 9/17/25 at 2:33 P.M., V2/Director of Nurses verified that R2 required extensive staff assistance for toileting, was very anxious and required frequent staff encouragement to use the call light for staff assistance. At that time V2/Director of Nurses stated that since R2's recent fall from the toilet, upon return to the facility, staff had updated her care plan to include not leaving R2 alone on the toilet.

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