Complaint Investigation Report

The investigation revealed the following: In regards to the allegation " Facility did not meet resident's needs while in care", it is alleged that "Staff called emergency medical services because of R1’s medical condition and medical staff determined that R1’s condition was poor and appeared neglected." Based on the interviews conducted with R2-6 and S1-6 and all denied the allegation. S1-6 indicated that R1 needed assistance on full care of ADL and staff have been providing the care she needed. S2 stated that mid June, she observed that R1’s health condition had changed and was declining since June 2022 and reported it to the family member (V1). S2 stated that she provided care to R1 all the time and made sure that R1’s care is addressed. S2 said to V1 that R1 had an opening/sore on her buttock. S2 advised V1 that R1 needs to be put on hospice for more care. Telehealth appt with R1’s primary physician on regards hospice care was conducted and follow up evaluation was scheduled for Sat or Sun. 8/6/22 or 8/7/22. S2 stated that on 8/05/2022, she noticed R1 had a temperature and had difficulty breathing. S2 called V1 to ask permission to call 911. V1 hesitated at first and wanted to wait for the Nurse to come that weekend but agreed afterwards. S2 stated that Paramedics and Fire fighters took R1 to Hospital. S2 indicated that when she observed R1’s condition changing to the worst, she immediately called V1 and 911 for assistance. Attempts were made by LPAs to contact V1 to determine if she has the right to make medical decision for R1, but unsuccessful.

Although the allegation 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 are UNSUBSTANTIATED.

Exit interview was conducted and deficiencies were cited. A copy of this report was provided to the Administrator Flordeliza Sasada along with the Appeals Rights.