Complaint Investigation Report

a skin tear and treatment was provided to R1 as needed by hospice nurses and facility staff. Further review of R1’s medical records revealed that although R1’s hospice care plan was not updated to indicate R1’s skin condition/pressure injury, hospice nurses and facility staff were assisting R1 by turning, repositioning, and providing treatment for the skin tear. Overall, the investigation revealed that although R1 developed a skin tear while in the facility, there is no supporting information or corroborating evidence that R1 developed a skin condition due to neglect and care and supervision by facility staff, therefore, the allegation deemed UNSUBSTANTIATED at this time.