Complaint Investigation Report

Staff does not assist resident with management of their oxygen administration. – UNSUBSTANTIATED

It was reported that when Resident 1 (R1) first moved into the facility, an RN assisted them with oxygen use and supplies, now staff told R1 they are not allowed to help with oxygen.

LPA reviewed an invoice from an oxygen supply company dated 11/12/2025 which states R1 received a supply of oxygen equipment (concentrator and other supplies). LIC602 Physicians Reports dated 02/16/2022 and 02/17/2026 state that R1 is able to administer their own oxygen. Care Plan dated 08/25/2025 states that R1 requires assistance with regular breathing treatments and R1 is independent with their oxygen.

Admission Agreement for R1 dated 12/10/2022 states that the facility does not provide higher levels of care such as nursing.

Resident 1 stated they can manage their oxygen but if the breathing tubes are not on properly or it falls on the floor they may not be able to grab them.

Administrator stated that R1 manages their own oxygen and staff do not assist R1 with their oxygen.

It was determined that R1 can manage their own oxygen but would benefit from more frequent checks by care staff to ensure that their oxygen lines have not fallen off or become stuck in the wheelchair. This allegation is unsubstantiated.