Complaint Investigation Report

When asked if the resident had been assessed upon admission, Licensee stated that she did not have any type of documents that showed the assessment had been completed. LPA requested a care plan for R1 showing that wound care was being provided as required and that training was provided to the staff regarding said wound care. As such it would be reasonable to assume that the Licensee did not conduct an assessment and training was not provided to staff for the care of the resident's pressure injuries. Licensee had the resident relocated to another facility. The facility had the resident transferred to a skilled nursing facility immediately after admittance due to the need for a higher level of care and the multiple pressure injuries.

Based on the fact that the Licensee was unable to provide a proper assessment made by the licensee/ Administrator, and the facility did not have a documented wound care plan for R1, the allegation was Substantiated. Facility cited.

An exit interview was conducted where a copy of this report was discussed with Zhang and copies of the LIC9099D and Appeal rights were given.