Complaint Investigation Report

The investigation revealed the following:

Allegation: Staff did not make resident records readily available to emergency medical personnel.

This allegation alleges that staff failed to make the resident’s medical records readily available to emergency medical personnel during a medical emergency. LPA Watson conducted an interview with Administrator (A1) Maria Galvan. A1 stated that when staff are asked to make a resident’s records readily available to emergency medical personnel, staff are trained to immediately perform a quick assessment and stabilize the resident. A1 further stated that staff are trained to ask the residents if they are in pain, then contact the Med Tech and inform them of the situation. If the situation requires an immediate emergency response, staff are trained to call 911. A1 stated that after paramedics determine the resident needs to go to the hospital, staff notify the family and the Wellness Director and then monitor the resident while they are away at the hospital. A1 also stated that they plan for a discharge and reassessment to determine if there are any changes in care. A1 stated that they work with the family and/or residents to accommodate any new level-of-care needs. A1 stated that staff immediately call 911, gather the emergency packet, and provide it to paramedics.

The emergency packet contains the face sheet, insurance information, and medical list. LPA Watson conducted Interviews with Residents #1-6 (R1-R6). Out of those interviewed 6 out of 6 Residents interviewed denied the above allegation. LPA Watson conducted Interviews with Staff #1-6 (S1-S6). Out of those 6 interviewed, 6 out of 6 staff members denied the above allegation. LPA Watson obtained and reviewed a Medication Discharge Report for R1 dated 07/25/2025 and it showed no new medications were administered, medications to continue taking that have changed, and medications to discontinue taking for R1. A1 also stated that since she started working at the facility 11/20/2025 the Administrator has not been informed or notified about a seizure concerning R1. LPA Watson requested and did not receive any documentation verifying that R1 was admitted to the hospital for any seizures.

An exit interview was conducted with the Administrator Maria Galvan, and a copy of this report was provided.