Complaint Investigation Report

The allegation of “Staff did not provide proper hygiene care for resident” alleges that facility staff did not provide proper hygiene care for resident #1 (R1) resulting in their wound becoming infested with maggots. During the 11/01/2024 visit LPA Byrne interviewed the facility Administrator who stated that due to the condition of R1 they were only able to give the resident bed baths for fear of damaging R1’s skin. Additionally, the Administrator stated that on 10/24/2024 once paramedics arrived to transport R1 they observed a maggot on R1. On 12/20/2024 LPA interviewed witness #2 (W2). W2 stated that on 10/24/2024 they observed R1’s wound to have multiple maggots inside of it. An interview with a witness #3 (W3) revealed that they observed R1’s wound to be bloody and puss filled beneath the bandage. W3 also confirmed observing the maggots on R1. Based on the information obtained during interviews there is sufficient evidence to support the allegation that Staff did not provide proper hygiene care for resident. Therefore, the allegation is deemed Substantiated at this time.

The facility Administrator was unavailable to sign this report but has designated a staff member to sign on their behalf. This report was read to the Administrator via phone call at the time it was delivered.

The following deficiency was cited (refer to LIC 9099D). A copy of the report was printed, appeal rights were provided, and exit interview was conducted.