Complaint Investigation Report

Allegation: Resident sustained a death while in care

The complainant states (R1) died from neglect while in care of facility staff. IB Investigator Robert Kujawa reviewed records, interviewed staff and witnesses. and found that R1 did not sustain a death while in care of facility staff. Facility notes show that R1 contracted covid-19 and was transferred to a rehab facility. Upon R1’s return, several notes outline that resident was monitored for temperature, oxygen, body weakness and eating habits. Facility reached out to R1’s authorized representative regarding their medical condition and need for medical follow-up. R1 was hospitalized upon doctors’ orders and per facility notes R1 passed from covid-19 related pneumonia and had been out of the facilities care for 19 days at the time of their passing. IB Investigator Kujawa did not find any evidence of neglect in the residents’ care.

Based on information gathered, the Department did not find sufficient evidence to support the allegation mentioned above.

Allegation: Staff do not properly maintain a resident's room while in care

The complainant reported that human waste was seen in bathroom of R2. IB Investigator Robert Kujawa spoke with R2 on 6/8/2021. Per R2, there has been no human waste on the floor of room. On 8/24/2021 LPA Cifuentes toured facility grounds and did not see or smell any human waste in residents’ rooms. On 8/24/2021 LPA Cifuentes spoke with residents R4-R8 and asked how often rooms were cleaned and if staff were properly maintaining their rooms. 5 out of 5 residents interviewed agreed that staff cleaned their rooms once per week and rooms were properly maintained. On 8/24/2021 LPA Cifuentes interviewed staff (S1-S5) regarding maintenance of resident’s rooms. 5 out of 5 staff stated rooms are cleaned minimum once per week and that residents’ rooms are properly maintained.

Based on information gathered, the Department did not find sufficient evidence to support the allegation mentioned above.