Complaint Investigation Report

Interview with administrator and staff revealed that Joseph is able to feed himself, swallow and is able to transfer to wheelchair with minimal assistance. They stated that Joseph does have a wheelchair, but is able to walk around on his own and staff supervise C1. Staff confirmed that C1 does have a history of stage 1 pressure injuries on the buttocks, but a nurse from Nurse for Excellence Home Health comes regularly and staff reposition the client every 2 hours . Interview with Regional Center Quality Assurance Representative revealed that this facility is already a high level care and therefore C1 is at an appropriate facility . This facility is a specialized residential facility that provides services above Level 4i. They have consultants that come to the facility to assist with the clients' needs such as a facility nurse and behaviorist. Regional Center Quality Assurance Representative confirmed that a nurse from Excellence Home Health comes to the facility regularly to assist with the pressure injuries and staff have done a good job in repositioning C1. During today's visit, LPA observed C1 walking around and C1 was able to feed self.