Complaint Investigation Report

Investigation Findings: It was reported to the department that the facility did not timely respond to R1’s doctor for a potential UTI. LPA interviewed S2, who was on duty at the end of the day on Friday November 28th S2 reported that R1 informed staff that R1 felt symptoms of a urinary tract infection but not severe enough to need to go to the emergency room. R1’s primary care provider’s office is closed over the weekend. R1’s primary care provider was notified on Monday December first. The order for the urinary test and prescription for antibiotics came in on the first. The urine was collected on the second due to R1 not being able to provide enough urine when the test was available. LPA interviewed S3 who collected the urine sample. S3 reported to LPA that R1 had informed another med-tech that R1 had some discomfort, and mild symptoms of what R1 thought could be a urinary tract infection (UTI). S3 assessed R1’s symptoms. R1 had reported to S3 that R1’s symptoms were mild consisting of mild discomfort while urinating, but not a severe burning sensation. S3 reported no increase in confusion, agitation, nor other severe signs of a UTI being present for R1. R1’s primary physician was informed, and a urine sample and antibiotics were prescribed. S3 did the sample collection the day after the test was received due to R1 not having enough urine to fill the sample. S3 reported that R1 reported no discomfort nor burning sensation while providing the sample. S3 also reported there was no strong smell or other obvious signs of a severe UIT. A five (5) day supply of antibiotics was prescribed and received by the facility on Tuesday December second. Lab results for the urine test were not yet available. LPA interviewed R1. R1 did not recall the incident and stated that staff do respond to needs in a timely manner. As R1 had reported mild symptoms to staff with no urgency to see a health provider, and staff evaluations of R1’s symptoms and temperament were not above base line, staff did act in a timely manner in response to R1’s report of possible a UTI. Therefore, this allegation is unsubstantiated.

Allegation: Staff did not ensure that resident's nutritional needs were met while in care.