Complaint Investigation Report

Based on information obtained, facility failed to follow doctor’s order for resident’s booties. According to W1, instructions provided to staff were to off load pressure and contact nurse immediately if bandage dressing gets wet during R1’s shower. LPA did not observe a written instruction for booties, however, 3 of 3 staff stated resident wore booties during the day and bedtime per doctor's order. LPA observed a photo of R1's Physicial Therapist demonstrating to staff on how to elevate R1's leg on wheelchair with booties.

Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegations are UNSUBSTANTIATED .

Exit interview conducted and a copy of this report provided.