Alden Estates Of Orland Park

hematoma on the top of her head and was complaining of pain to her left arm. V6 said, she does not

answering the phone. V6 said, there wasn't a phone in R4's room. V6 said, she told R4 she had a fall.

Nursing note dated 10/6/2025 documents: Are there any injuries: yes, bruising/hematomas.

Detail of any findings: Red raised are to the top of head.

Fall incident dated 10/6/2025 documents: Resident (R4) noted on floor by window in bedroom.

Resident noted lying on right side.

Rollator positioned against the window closet to her upper body.

Resident Description: R4 states, I was going to answer the telephone.

Immediate Action Take: Full body assessment done with bleeding noted to right side of her lip.

Complained of pain to right arm.

Hematoma to top of head/scalp.

Level of consciousness Alert.

Mental status: Oriented to person.

Mobility: ambulatory without assistance.

Predisposing physiological factors: Impaired memory.

Other Info: R4 was last seen around 3:30pm by V6.

Notes dated 10/9/25 documents: R4 has a history of Dementia. R4 is alert and oriented times one-two and noted with some confusion.

Facility Reportable 10/7/26 documents: Asked R4 how she fell, and she stated, I was going to answer the phone and I don't know what happened.

V6 witness statement documents: She did not witness R4 fall. V6 states, R4 will randomly get up and walk around her room. V6 stated, R4 had walked to the opposite side of the room by her roommate's bed which is not unusual for her.

That's where she was observed on the floor.

V9 witness statement documents: R4 walker was not near her when she fell. R4 was bleeding from her lip and holding her right arm.

Hospital paperwork dated 10/6/25 documents: chief complaint-unwitnessed fall at nursing home resulting in head injury.

Noted to have a laceration to left lip and abrasion to left scalp.

Noted to have a right supracondylar fracture and intraparenchymal contusion.

Mental Status alert and orient time one.

Care plan dated 10/10/25 documents: re-admitted status post fall diagnosis of close displaced simple supracondylar fracture of Right humerus and intracerebral hemorrhage.

Facility Fall Management Program policy dated 8/2020 documents: The facility is committing to minimizing resident falls and/or injury so as to maximize each resident's physical, mental, psychosocial wellbeing.

While preventing all resident's falls is not possible, it is the facility's policy to act in a proactive manner to identity and assess those residents at risk for falls, plan for preventative strategies and facilitate a safe environment.

Facility Management of Falls policy dated 8/2020 documents: The facility will assess hazards and risks, develop a plan pf care to address hazards and risks, implement appropriate resident interventions and revise the residents plan of care in order to minimize the risks for the fall incidents and/or injuries to the resident.

Assess and monitor resident's immediate environment to ensure appropriate management of potential hazards.