Complaint Investigation Report

Based on the LPA's investigation, the investigation revealed the following:

Allegation 1 – Facility delayed medical treatment for resident's condition. According to RP C#1 his foot issue was severe. Interviews with administrator and S#2-S#3, communicated that C#1 foot had some sort of fungus/eczema. The were applying cream for the dryness, C#1 did not complain of pain or discomfort. Administrator believed that C#1 continued issue was because C#1 showered and did not let foot air dry before putting on socks and that’s why his eczema/fungus would not get better. On 09/10/22, C#1 was taken to see C#1 physician(podiatrist) doctor issued cream for the eczema/fungus. Staff was applying as directed. On 09/28/22, C#1 went back to podiatrist for follow up. Again, doctor prescribed same medication and the eczema/fungus was getting better. LPA attempted to interview clients; client’s mental status did not allow them to answer LPA’s questions. LPA reviewed the medical documents dated 09/10/22 from Podiatrists for C#1 it states that it looked better and prescribed medication (ointment.) The interviews and records reviews do not concur with the above allegation.

Allegation 2 - Staff are not ensuring that the facility is free from vermin. According to RP the facility is infested with cockroaches. Administrator communicated that administrator saw a few cockroaches and hired pest control company to treat the entire facility. The pest control company came to treat the facility on 09/16/22. S#2 communicated that S#2 had not seen any cockroaches in the facility. S#3 communicated S#3 had seen cockroaches in the kitchen and advised administrator about the cockroaches. LPA attempted to interview clients; client’s mental status did not allow them to answer LPA’s questions. LPA toured the entire facility to observe if there were any cockroaches in the facility. LPA did see a couple of dead roaches in the kitchen. The facility provided a copy of pest control invoice, which showed that the facility had been treated for pest. The facility did treat the facility and was ensuring that the facility was free of vermin. The interviews and records review do not concur with the above 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

An exit interview was conducted with Ruth Johnson, care giver, and a hard copy of report was provided.