Complaint Investigation Report

In regards to the allegation Questionable Death, based on interviews conducted and information gathered it was revealed by the Hospice Agency Representative that they received a referral from Greater El Monte Hospital that Client C1 needs placement. Medical records were sent to them.

Stated that the Admission date on Hospice was 07/07/2023 and he was on it till the day of his passing 07/12/2023.

Also stated that the cause of death was sepsis and end stage crones disease which Client C1 had prior to admission.

Said that Hospice visits were conducted on 07/08/2023 with 1 Nurse, 07/09/2023 with 2 Nurses, and 07/12/2023 with 2 Nurses and there were no vital signs that evening. The medical doctor and family were informed.

Stated that the facility staff looked after Client C1 while Hospice was not there. Said if any change in condition, or change in medication the facility would report the changes and also there was an on call number. Said the facility did have constant communication with Hospice.

Facility staff kept the patient clean and assisted with everyday living. Stated that the facility staff did carry out their duties. Hospice Nurse never reported that Client C1 was not taken care of. There was never any complaints from the Hospice Nurse or the Social Worker.

Interviews with facility staff all stated that Client C1 was on Hospice and it was for 6 days. Stated they met all his needs when Hospice was not there. Stated they would help him right away and they check on all clients every hour.

LPA viewed a signed log for all clients that were visited for their hourly check.

Interviews with Client's C2-C9 who all stated that facility staff respond right away and if emergency will call 911 immediately.

Although the allegation may have happened or are valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED.

In regards to the allegation Staff did not administer medication(s) to resident in a timely manner, based on interviews conducted and information gathered 8 out of 8 clients interviewed all stated that they have never missed a dose of medication administered by facility staff. All 8 stated that the medication is always ready and administered in a timely manner.

Interviews with staff who stated that pain medication will be given right away to a client on Hospice.

Stated they do not blow off the clients request for medication and did respond to Client C1 in a timely manner.