Complaint Investigation Report

Regarding the allegations: Resident sustained an unexplained injury while in care and Resident developed a rash while in care. On 12/01/2023, the Department received a complaint alleging that Resident #1 (R1) had developed skin damage and right ankle rashes while at the facility and “was unable to provide meaningful history.” Per record review, R1 was admitted to the facility on 09/01/2021 and was on home health services. Interview with the Licensee revealed that R1 was on home health services for wound care. The Licensee stated that prior to R1’s death, that R1 changed from home health services to hospice services. Per record review, R1’s home health services included wound care for R1’s buttocks and coccyx area and stage 2 on right ankle. Based on record review, it’s unclear when R1’s rashes developed and if R1 had any injuries while in care at the facility. The information obtained during the investigation did not include evidence sufficient to corroborate the allegation. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is deemed Unsubstantiated at this time.

Exit interview conducted. A copy of the report was provided.