Complaint Investigation Report

It was alleged that R-1 had a questionable death, staff did not reposition R-1 resulting in R-1 sustaining a stage 4 pressure injury and staff did not change R-1's diaper in a timely manner. Per interviews, Resident#1 (R-1) has not resided at this facility. Resident Daily Census reports (noted above) do not reflect that R-1 was a resident at this facility. Staff interviews and reviewed documentation do not corroborate the above allegations.

This agency has investigated the complaint alleging R-1 had a questionable death, staff did not reposition R-1 resulting in R-1 sustaining a stage 4 pressure injury and staff did not change R-1's diaper in a timely manner. We have found that the complaint was unfounded, meaning that the allegation was false, could not have happened and/or is without reasonable basis. We have therefore dismissed the complaint.

Exit interview conducted, a copy of the appeals rights and this report was provided to Denise Sutton.