Complaint Investigation Report

R1 was seeing a wound care surgeon from June 2019-October 2019 to help with the debridement of the wounds that R1 had developed. It was noted during in the Wound care notes that R1 wounds were not healing due to low calorie intake and inactive lifestyle. Review of hospice records show that hospice was coming to the facility two to three times a week along with the care R1 was receiving from the wound care surgeon. A review of the hospice records show that hospice was aware of the wounds R1 had developed and were caring for those wounds before R1 was discharged from hospice care on 10/27/19 due to R1’s family deciding to seek active treatment for R1. Based on the information obtained through a review of R1’s hospice record show that R1 was receiving treatment for their wounds and due to a decline in R1’s health the wounds began to not heal properly. Therefore due to a lack evidence to say that R1 developed unstageable pressure injuries due a lack of care by facility staff, is deemed Unsubstantiated at this time.

Staff are chemically restraining resident.

It is alleged that facility staff was over-medicating R1 to keep R1 sedated. LPA reviewed R1's hospice records and facility records. Interviews were conducted with facility staff and R1's responsible person. Information conducted from interviews reveal that there was no issue with R1 receiving the wrong dosage of medications or being given more than they were supposed to. A review of hospice records did not show any issue with R1 receiving their medication. Therefore this allegation is deemed Unsubstantiated at this time.