Complaint Investigation Report

The Investigation Revealed the Following:

Allegation: Staff did not ensure resident was transported to medical appointment in a timely manner.

It is alleged that on 5/21/25 R1 reported missing 2 dialysis appointments due to staff not assisting with transportation to the appointment. LPA interviewed 3 staff and each denied the above allegation. Interview with S3 revealed that although the dialysis team may show up later than the scheduled time, they do show up to provide treatment for R1. LPA interviewed 9 residents and 8 out of 9 residents denied the allegation. Interview with R1 revealed that they receive treatment for dialysis at the facility and do not need to have transportation for this service, they also stated that sometimes the dialysis office will call and reschedule the time for treatment or reschedule the appointment for the following date, R1 stated that they should receive treatment every 2-3 days. LPA reviewed R1’s Hemodialysis Flowsheet for the month of May 2025 which documented that dialysis treatment was done on the following dates: 5/2/25, 5/5/25, 5/7/25, 5/9/25, 5/12/25, 5/15/25, 5/18/25, 5/21/25, 5/24/25, 5/26/25, 5/28/25, 5/30/25, which reflects the requirement of treatment for R1 (every 2-3 days).

Based on statements and interviews conducted with staff/residents, and review of resident files, there was not enough supportive evidence to concur with the reported allegation. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED. Exit interview held, and a copy of this report was emailed to administrator.