Complaint Investigation Report

Second allegation: Staff neglect resulted in resident sustaining and infection. Regarding the allegation stated above LPA conducted a file review of Client #1 records. During the review of records LPA discovered that Client#1 was transported to local hospital on 1/10/2021 due to the discovery of redness found around Client #1 G-tube. Documentation further explained that no leak was found however, medication (Nystatin cream), was prescribed to treat Client#1 skin infection, records also indicated that Client#1 was discharged from local hospital on the same day 1/10/2021. In addition, during the review of record LPA discovered that facility had a restricted health plan on file that was signed and approved by physician. In addition, LPA also observed an exception for Client #1 to be on file. Based on corroborating evidence obtained during the course of the investigation, LPA has determined that the above allegation is Unsubstantiated.

Unsubstantiated: meaning that although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur.

An exit interview was conducted where this report (LIC 9099) was discussed, and a copy was provided to Facility Administrator (CEO) Michael Hall.