Complaint Investigation Report

A review of the hospital discharge summary for R1 did not mention anything about a pressure wound or pressure ulcer. The discharge summary states the resident was diagnosed with DVT of lower extremity, bilateral history of dementia, and leg pain-swelling.

Based on the information gathered during the investigation through interviews and document review, the Department is unable to ascertain if the allegation occurred as reported. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove or refute the alleged violation occurred; therefore, the allegation is deemed Unsubstantiated.