Complaint Investigation Report

Allegation #1: Staff provided inadequate information to resident's medical providers.

It was alleged that facility staff provided inadequate information about Resident #1 (R1) to the medical provider when they were admitted to the hospital. R1 was brought to the hospital via ambulance due to a UTI. Interview with licensee (S1) revealed that the emergency medical technician (EMT) requested copies of R1 records, and documents were given to the EMT. Interview with staff #2 (S2) revealed that they witness S1 rushing to make copies of R1’s records for EMT. Interviews with four (4) out of five (5) residents revealed that they have no issue with facility staff relaying and providing information to their medical providers. During licensing visits, LPA Ngo-Castaneda observed copies of the documents prepared for each resident to provide the medical providers and emergency personnel.

Based on the information, observation, and record review gathered during this, the allegation is deemed unsubstantiated .

Allegation #2: Staff provided inadequate information to resident's responsible party.

It was alleged that facility staff did not provide adequate information about R1 to their responsible party. During interviews with the licensee (S1), it was revealed that R1 is responsible for themselves, and no family members/ individual are responsible for R1. An interview with four (4) out of five (5) residents revealed that they have no issues with facility staff notifying their family and their responsible party regarding their care at the facility. A review of R1’s admission agreement, Emergency identification and other documents verified that R1 is self responsible and no other individual is noted as a responsible party.

Based on the information, observation, and record review gathered during this, the allegation is deemed unsubstantiated .

Exit interview conducted. Copy of this report issued