Complaint Investigation Report

Allegation: Facility failed to seek medical attention for resident (R1) in timely manner.

Reporting party (RP) stated that R1 has doctor's order to monitor blood pressure (BP) and was prescribed medication back in 2022. RP further stated that on 2/19/24, Pine Park Nurse Practitioner (W1) called R1's responsible person (FM) and told FM that R1 will be sent out due to the BP being out of control. RP alleged that facility did not call 9-1-1.

LPA reached out to W1 but W1 did not return LPA's call. PP1 confirmed W1 has an order sent to the facility to check R1's blood pressure from 2/07/24 to 2/14/24. Review on Unusual Incident Report showed staff (S1) called 9-1-1 on 2/19/24 and that W1 was notified and that FM was aware. LPA interviewed S1 who confirmed she called 9-1-1 and that R1 was sent out due to high blood pressure.

Based on information gathered and LPA unable to obtain information from W1, and LPA not able to interview R1 due to R1's medical diagnosis of R1, the allegation is unsubstantiated.

Allegation: Facility improperly assisted resident (R1) with medical needs.

It was alleged that R1's urine sample was sent by the facility to a different laboratory other than Pine Park Health.

Review of record showed order for urinalysis. Review of facility notes, communication with Pine Park Health and FM showed that FM was informed about the urine sample. LPA interviewed the Wellness Director and S1 who stated that Pine Park has third party, Labcorp and GTI, that picks-up the urine sample. LPA tried to reach W1 but W1 did not return LPA's call. Therefore, the allegation is unsubstantiated.