Complaint Investigation Report

Facility nurse's notes indicate resident was admitted to hospice care 01/18/2021 and started receiving wound care daily on 02/07/2021 until end of life 02/22/2021. Three out of three staff state resident was being repositioned every 2 hours due to the wound. Resident started receiving the fentanyl patch effective 02/05/2021. Facility notes indicate resident was receiving the patch by hospice nurse. Facility staff state resident was receiving meals delivered to the resident's room due to covid pre-cautions and all residents received meals. Facility does not have copies of meal checklists from 2021. Interview with housekeeper familiar with resident indicated all laundry services were performed for the resident. Three out of three staff state incontinence care is provided every 2 hours and deny resident was left soiled. All staff interviewed state resident's needs were being met and all deny any staff being rough with any resident. Five out of five residents state satisfaction with facility and indicate staff is good to them. Facility does not have Durable Power of Attorney (DPOA) paperwork on file however R1's face sheet designates a DPOA and a medical proxy to two different individuals. Based on interviews conducted and records reviewed, LPA is unable to corroborate the allegations. Therefore the allegations are deemed UNSUBSTANTIATED, meaning although the allegations may have happened or is valid, there is no preponderance of evidence to prove the alleged violations did or did not occur. Exit interview conducted and a copy of this report was left at the facility.