Complaint Investigation Report

R1 was sent to hospital on 11/05/2025 and it was of concern that that facility did not notice change of condition because resident arrived to the hospital in an altered and confused state and had elevated glucose levels when admitted. LPA spoke with resident’s doctor’s office and learned that resident has no standing order for glucose testing and there was no way facility staff would know it was elevated. Resident was sent to hospital in prompt manner right after resident had an un-witnessed fall in R1 restroom. It was discovered at hospital that resident had a urinary tract infection. There is not enough evidence to support this 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 UNSUBSTANTIATED.

An exit interview was conducted with Maddison Guardian, Medical Technician, A copy of this report, along with the appeal rights, was provided.