Complaint Investigation Report

Allegation: Facility neglected to provide Resident adequate basic care needs.

During initial interview with RP it was stated that when R1 returned for her follow-up appointment on 9/19/2023, it appeared that R1's daily activities of daily living (ADLs) were not being met. S1 stated during interview that R1 is accompanied to her appointments by her daughter. Interview and record review indicated that R1 is bathed twice a week. S1 stated that if the health nurse (that comes once a week) bathes R1 the facility does not document it. LPA reviewed the care plans and MARs during the investigation and observed that two (2) medications were prescribed to assist R1 with basic care needs. Therefore, the facility did not neglect to provide R1 adequate basic care.

Allegation: Facility did not follow physician's orders.

RP stated facility did not follow orders that were given upon R1 being discharged from procedure. LPA observed discharge summary and physician's order for R1 during record review. Review of clinical notes indicated that on 9/14/2023, staff tried to remove dressing from wound but was not able to due to dried blood. Notes also indicated that staff would have day shift contact doctor and continue to soak wound to loosen. Staff contacted nurse on 9/15/2023, and was told to give it 1-2 more days. Staff tried again on 9/16/2023, but R1 expressed pain. On 9/17/2023, staff requested nurse. Nurse arrived on 9/18/2023. On 9/19/2023, staff called clinic to have R1 seen for dressing to be removed. R1 was seen and returned with new discharge instructions, which LPA observed during record review.

Based upon the information obtained during investigation. The above allegations are unsubstantiated. A finding that the complaint is UNSUBSTANTIATED means that although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violations occurred.

Exit interview conducted and a copy of report was given .