Complaint Investigation Report

Staff did not seek timely medical attention for residents in care

Staff did not ensure that the resident’s bandages were changed by an appropriately skilled professional

Records were reviewed regarding the death of R1. Based on documentation, R1 was on Hospice at the time of death. Records indicated that Hospice nurses were changing residents’ bandages regularly and seeking medical attention as needed. Facility staff contacted Hospice. Once Hospice arrived at the facility, R1 was unresponsive and pronounced deceased. R1’s death certificate lists cause of death. The above allegations are UNFOUNDED . A finding of unfounded means that the allegation is false, could not have happened and/or is without a reasonable basis.

Staff did not provide shower assistance to residents in care

Staff did not wash resident’s soiled clothing items

Staff did not change resident’s brief in a timely manner

Staff did not sanitize the facility’s contaminated areas

The department conducted interviews, facility observation and record review to investigate the above allegations. During interviews with facility staff and residents, it has been discovered that facility provided appropriate care to the residents based on resident’s documented needs and service plans. During department visits on 11/03/25, the Department observed that staff were attentive to residents’ care needs and helping them with their care needs. Staff interviews reflected that the facility provides adequate staffing and there were no issues with staff who are not helping residents with their care needs. Staff stated that they were assisting residents with showers, laundry, sanitation, and toileting needs every 2 hours or as needed. Resident interviews did not express any concerns in this area; therefore, these allegations are found to be UNFOUNDED . A finding of unfounded means that the allegation is false, could not have happened and/or is without a reasonable basis.

Exit interview conducted. Report left with Administrator.