Complaint Investigation Report

Allegation: Staff did not ensure changes in resident's condition were reported to a physician in a timely manner.

On 1/26/21, R1 was admitted to Mercy Folsom for severe dehydration and a urinary tract infection. At the time of hospitalization, Patricia was positive for Covid-19 and was quarantined to her room and was being monitored by a single staff member. R1 had not eaten and drank little to no fluid/water for approximately 2 - 3 days prior to being hospitalized. Review of documents indicate that R1 did not have fluids or food for approximately 3 days from 1/23/21 through 1/25/21. Facility did not report R1's condition to medical personnel in a timely manner. Witness was asked if R1's medical attention should have been sought sooner, witness replied, "yeah, maybe a day before."

As a result of this investigation, LPA finds the allegations that resident sustained severe dehydration and a UTI due to lack of care and supervision, staff did not ensure changes in resident's condition were reported to a physician in a timely manner to be SUBSTANTIATED. A finding that the complaint is Substantiated means that the allegation is valid because the preponderance of the evidence standard has been met.

The following deficiencies were cited on 9099-D, per Title 22 Regulations, Division 6.