Complaint Investigation Report

On March 20, 2023, R1 seemed "out of it", and was not able to feed/drink themselves. On March 21, 2023, R1 was transported to the Emergency Room for evaluation. S1 asked the hospital if an assessment had been done for a potential change in condition for R1, in which, according to S1, had not been done. S1 admitted that hospital staff contacted S1 to advise that R1 had been discharged and was ready for pickup around 5pm. R1 remained at the hospital, and later that evening, S1 stated that they were contacted by a hospital worker and was advised that R1 was being evaluated by another medical team. S1 did not pick up R1 when R1 was ready for pickup due to S1's initial feeling that R1 needed further treatment. Therefore, this allegation was Substantiated. A finding that the complaint is SUBSTANTIATED means that the allegation is valid because the preponderance of the evidence standard has been met.

An exit interview was conducted where a copy of this report was discussed with and provided along with copies of the LIC9099-C, LIC811, and Appeal Rights.