Complaint Investigation Report

LPA Moleski reviewed R1’s file and other medical records and observed no indication that R1 had ever suffered from bed sores or diaper rashes. None of the staff members interviewed reported having observed bed sores or diaper rashes on R1. Multiple staff interviews indicated that R1 is able to notify staff when toileting assistance is needed. LPA Moleski reviewed a fax dated 3/14/23 sent from facility staff to R1’s physician which described a fungal infection observed on R1’s anus. LPA Moleski interviewed the author of the fax, S5, who said that the infection resolved shortly after receiving cream prescribed by R1’s physician. S5 had not observed any bed sores or diaper rashes present on R1.

The department has determined the following as it relates to the allegations that staff are not meeting a resident’s diapering needs, resulting in sores, and that staff made inappropriate comments toward a resident:

Based on record review, the above allegations are UNSUBSTANTIATED, which means that although the allegations may have happened or are valid, there is not a preponderance of the evidence to prove that the alleged violations occurred.

No deficiencies were cited regarding the above allegations. An exit interview was held and a copy of this report was left with Barry.