Complaint Investigation Report

9099C-1...On 9/2/22, the facility staff called home health staff and reported a wound on resident's buttocks.

Charting notes from Sept 2022, note that resident had a rash on his body and was receiving care from home health nurses. Notes from October 2022 indicate that resident still complained of pain on his legs, feet and bottom and home health nurses were aware. Notes entered on 3/23/23 document resident was "100% bed bound" and refuses to get out of bed.

Resident's Service Plan dated 8/22/22 notes that resident needs maximum assistance with bathing, dressing, grooming, dental, toileting, transfer/mobility, special care needs, cognitive, disposition and behaviors, sleep, communication, psycho-social engagement and medication management.

Resident sustained only pressure injuries of stage 1 and 2 while living at the facility. Home health records obtained through 2/24/23, indicate,there were no stageable pressure injuries. Home health records did not reflect any concerns or neglect with facility care being provided, including with wound care. Residents family member stated during the investigation that resident does not currently have any pressure sores.

Home health nurse was not interviewed due to no concerns noted in the home health records.

Based on information obtained, the Department finds the allegation to be UNSUBSTANTIATED- meaning that although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred.

Allegation: Facility staff are not meeting residents' hygiene needs.

LPA reviewed the Shower Schedule binder for July 2023 and observed residents are scheduled for a shower at least twice weekly. The Administrator and a caregivers stated that staff is supposed to initial on the individual resident’s calendar page, at the end of the work shift, when a shower is given, but sometimes it is not done. LPA observed that almost all residents have multiple days that have not been initialed. If a resident is on hospice, the hospice staff will give the shower.