Complaint Investigation Report

Interview with Staff #1 (S1) at 11:35 a.m. on 02/21/24 revealed that the injury occurred during the night shift. S1 believed S2 reported the injury to R1’s family. Interview with S2 today revealed they reported the injury to R1's responsible party over voicemail. Record review revealed the cut was reported to R1’s hospice agency by 10:58 a.m. on 04/05/2023. The hospice order described it as a “left forearm skin tear” which was treated by an antibiotic ointment and a dressing. Based on record review and interviews, facility staff followed reporting requirements. Therefore, the allegation is deemed UNSUBSTANTIATED at this time.

No immediate health and safety hazards were observed during this visit.

Exit interview conducted. Copy of report provided.