Complaint Investigation Report

Facility Charting notes dated 7/25/2023 to 7/27/2023 state that R1’s family would have to work on dermatology appointments due to dermatology not being covered under Hospice care. Notes from 7/27/2023, states Hospice requested for inspection of R1’s room to which Facility conducted an inspection to which no signs of bed bugs or scabies were found in surrounding furniture inside room. Charting notes also state that R1’s Doctor will be contacted regarding medication for resident’s itching. On 7/27/2023, notes state that R1’s laundry soap was changed out due to possibility of causing skin irritation. Per interviews conducted, Witness interviews stated that R1 had a rash on arms that caused itching. Witness interviews stated that R1’s was believed to have a residual rash of dermatitis. Per staff interviews, staff stated that once notified of rash, facility had maintenance come out and perform inspection for bed bugs and scabies to which none were found. Staff interviews stated that facility switched out mattress, cleaned sheets as well as switched laundry detergents. Staff stated that they were looking to what could be root cause of rash and stated that R1 was the only resident who had rash, no other residents had a rash at time of initial complaint.

Regarding Facility not safe guarding residents clothes, Per observations, LPA toured residents room where clothes and personal belongings were observed inside drawers. Per record review, R1 had a personal property and valuables list where 14 items were noted from clothing, shoes, hats, watch and glasses. Per interviews with staff, staff state that upon admission to facility Residents are to mark clothing with a marker with their name to differentiate residents clothes. Staff also mentioned that after clothing is washed staff take clothing to residents room once completed. Staff mentioned that in Memory Care section, that staff are monitoring residents and stated that on rare occasions they will see residents wander into other residents room to which staff will redirect. Staff stated they aren’t aware of clothing being stolen or other residents wearing other residents clothing.

Based on information provided from investigation, the allegations Facility resident sustained a rash while in care and facility not safe guarding residents clothing was deemed UNSUBSTANTIATED meaning that although the allegation may have happened or is valid, there is no preponderance of evidence to prove the alleged violation did or did not occur as reported.

An exit interview was conducted with Administrator Didimay Dimacali and copy of report was provided.