Complaint Investigation Report

The investigation revealed the following: Regarding the allegation …. Resident sustained an unexplained injury while in care. It’s alleged a client had unexplained bruises from an unknown injury. LPAs interviewed 2 out of 8 staff in total. 2 out of 2 denied the allegation. S1 states that the staff called them when the caregiver saw a blister on C1’s finger with fluid coming out of it. Caregiver took C1 to Urgent Care and then to Holy Cross Hospital. S1 stated that C1 was on medications that caused them issues with their immune system. Specifically, a medication that caused the client to develop redness and bruising. This medication has been stopped and no other client has been physically aggressive toward C1. S2 states, they never observed anyone hit C1 not even another client. LPAs interviewed a witness. W1 stated that C1 went to the hospital for an unrelated reason and noticed that C1 had swelling on their index finger, bruising, and peeling skin. W1 suspected C1 was having an allergic reaction to a new medication. C1 has no history of redness or bruising, per W1. W1 also mentioned that there’s no other reason for suspicion. LPA interviewed W2, and W2 states, “The facility takes good care of C1, there are no complaints or issues from them.” LPA attempted to interview 4 out of 4 clients in care but was unable to due to the client’s cognitive ability.

During a record review and observation, LPAs observed the client to have no bruising. The caregiver conducted a body check of the client’s extremities and observed no bruises. LPAs reviewed body check forms from April 1 st to the present. Notes state that there are no bruises prior to April 11, 2023 . Per the facility, C1 started a new medication a month ago which cause them redness and bruises. During hospitalization, the medication was discontinued because of other adverse effects it was having on C1.

Based on LPA’s Observation, record review, and interviews conducted, the preponderance of evidence standard has not been met. Although the allegation(s) may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation is unsubstantiated

An exit interview was conducted, and a copy of the report was given.