Complaint Investigation Report

Staff are retaining a resident that requires a higher level of care.

It was reported that Resident 1 (R1) has progressively declined over time, as expected, but RP has significant concerns because R1 keeps getting hospitalized for severe infections.

LPA reviewed Resident 1’s (R1) LIC602 Physician’s report which shows a primary diagnosis of sepsis/UTI.

Resident 1 (R1) stated they have a catheter and they have had a lot of trouble with it. R1 was in the hospital for 4 days in November 2023 and 3 days in the ICU in October 2023. R1 stated they get cellulitis in their left leg.

During staff interviews it was learned that even though R1 requires a lot of care, R1 does get the care they need living at the facility.

Executive Director stated that clinically R1 does not require a higher level of care. Facility staff are able to care for R1 and R1 has a right to be here like anyone else. There is no reason for R1 to go to skilled nursing.

It was determined that R1 has a primary diagnosis of sepsis/UTI. Although R1 has been hospitalized on multiple occasions recently there is no evidence to support the hospitalizations were due to the resident requiring a higher level of care than can be provided at the facility. This allegation is unsubstantiated.