Complaint Investigation Report

Seacrest Hospice sent a shower aide on the morning of April 21, 2022 and Staff 1 stated that she helped the aide to sponge bath the resident that morning. Sometime during the day of April 21, 2022, Staff 1 repositioned R1 and changed R1's diaper with the assistance with R1's friend of the family.

On April 20, 2022, the hospice nurse stated that she set R1's Oxygen Concentrator as ordered by the physician. It was alleged that facility staff changed the oxygen concentrator from 2.5 to 4 Liter. The Hospice nurse stated that the doctors orders for the oxygen is between 2 to 5 Liter. Staff 1 and Staff 2 stated that they never changed the level of the Oxygen Concentrator.

Resident 1 passed away on April 21, 2022 at approximately 1:30 PM.

Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegation is Unsubstantiated.

An exit interview was conducted, appeal rights explained and provided. A copy of this report was provided during the visit.