Complaint Investigation Report

Record reviews and interviews conducted indicate that R1 was under a hospice care plan during the periods of 06/23/2021-10/19/2021 and 10/19/2021-01/10/2022. Hospice records indicates that R1 is at risk of skin breakdown due to existing health issues. Based on the interviews conducted and records review, LPA was unable to find evidence to support the allegation. Although the allegations may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegation is Unsubstantiated.

During interviews R2-R6 stated there are no concerns with an unlawful eviction. S1-S3 stated there are no concerns with an unlawful eviction. Witness W3 was not able to provide interviews during this investigation. Record Reviews indicate that witness W3 discharged R1 from the hospital and did not return R1 to the facility. LPA did not observe any other incident reports regarding an eviction for the facility. Based on the interviews conducted and records review, LPA was unable to find evidence to support the allegation. Although the allegations may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegation is Unsubstantiated.

Allegation: Facility staff did not seek timely medical attention for resident.

During interviews S1 and S2 verified that W3 called 911 on 01/11/2022. Witness W3 was not able to provide interviews during this investigation. Records indicate R1 was given treatment by S3 on 01/10/2022. Facility records indicate that S1, Administrator and hospice left voice messages for W3 about R1 condition after treatment was complete. Record reviews indicate witness (W3) refused to continue hospice services and called for paramedics on 01/11/2022. Based on the interviews conducted and records review, LPA was unable to find evidence to support the allegation. Although the allegations may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegation is Unsubstantiated.

Allegation: POA’s request for copies of confidential paperwork declined.

During interviews S1 stated no resident’s POA request for copies of confidential paperwork was declined. W3 did not verify the POA’s request for copies of confidential paperwork that was declined.