Complaint Investigation Report

On 11/18/22, LPA interviewed five staff (S1-S5) and six residents (R1-R6) and families, facility in house doctor and obtained copy of physician communication report. On today's date, LPA obtained more documents for R1.

The investigation revealed of the following: In regard to the allegation of “Resident sustained pressure injuries while in care.” The staff denied the allegation and reported R1’s wound/blister had been there for a long time and even since she's admitted to the facility three years ago and it's been healing and clean. LPA spoke to home health agency and reported they already discharged R1’s services as there’s no more swelling or redness for R1's blister/wound on her right leg and they reported R1’s thickens skin on hands and foot had been there for a long time and they cannot wash it off.

Based on LPA's observation, interviews conducted with staff and residents, 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 is UNSUBSTANTIATED

An exit interview was conducted, and a copy of this report was provided to Administrator Maya Mnoyan