Complaint Investigation Report

The investigation revealed the following: Regarding allegation: Facility staff did not provide resident's medical records to resident's medical provider. It is alleged hospital discovered that the medical records sent by the facility were the incorrect resident's medical records. Interview with administrator revealed that receptionist covering the front desk is responsible for providing paramedics an emergency packet with all the pertaining documents when a resident goes out to the hospital. On 7/31/21 R2 went out to the hospital at around 6:00pm and receptionist "new" to the position provided the documents for a different resident by mistake. Hospital contacted the facility at around 10:00pm during shift switch to notify facility of error and requested R2's emergency packet. Med Tech on duty during the night shift faxed the documents between 10:30pm to 11pm. Per administrator, staff noticed on 8/1/21 fax machine time was off by an hour and 20 minutes less. Interviews with 4 out 5 staff stated emergency packet is located in the front desk and if receptionist is not available Med Tech on duty is responsible for providing emergency packet to paramedics. Documents reviewed revealed receptionist hire date was 6/18/21 and has all pertaining training, receptionist was retrained on 10/12/21. Fax journal report date: 8/9/21 reveals facility faxed hospital's emergency room on 7/31/21 at 9:38pm. On 11/9/21 LPA Flores contacted emergency room at Huntington Hospital and verified faxed number on report. Facility has provided staff with training on 8/9/21 regarding Procedure and Documents to Paramedics and HIPPA laws.

Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are UNSUBSTANTIATED.

Regarding allegation: Facility staff is not communicating with resident's medical provider. It is alleged hospital's staff tried several times to contact the facility but has only been able to speak with a medical tech. Per administrator, Hospital communicated with Med Tech who was the person in charge to provide any documentation on the night of the incident and faxed documents to the hospital.. Interviews with 5 out 5 staff working the weekend shift stated to not be aware of incident related to hospital attempting to contact the facility or facility providing wrong documents. LPA attempted to interview Med Tech on duty over the phone but was not able to as Med Tech in question no longer works at the facility as of 9/18/21. Interview with R1's responsible party revealed family was contacted between 8:00pm to 10:00pm, drove to hospital and notified hospital's staff not to be R2's responsible party after seeing R2. Documents reviewed revealed, fax journal report shows a confirmed fax to hospital's fax number at 9:38pm due to facility's fax been off by an hour and 20 minutes fax was most likely send between 10:30pm - 11:00pm. On 11/9/21 LPA Flores verified hospital's fax number with hospital's staff.

Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are unsubstantiated.

Exit interview was conducted with Maria Quizon administrator and a copy of this report was provided.