Complaint Investigation Report

On 01/31/2025, LPA Renee Campbell went out to the facility to open the complaint and interviewed 4 residents, and all 4 residents stated they did not have pressure injuries and while observing staff cleaning residents after experiencing incontinence, no sores or wounds were observed but there were areas of redness. On 02/13/2025, 04/21/2025 and 04/22/2025, LPA Holly Williams also went out to the facility to follow-up on the complaint and interviewed both residents and facility staff and there were no residents in care with pressure injuries. On 07/10/2025, LPA Pang Lee visit the facility to follow-up on the allegation and based on interview with, residents, facility staff there were no residents with pressure injuries. Based on records, review R1 has a history of skin breakdown and is placed on hospice. Based on the information, there is not a preponderance of the evidence to substantiate this allegation.

The investigation revealed the preponderance of evidence standards have not been met; therefore, the above allegations are found to be UNSUBSTANTIATED. A finding that the complaint allegations are UNSUBSTANTIATED means that although the allegations may have happened or are valid, there is not a preponderance of the evidence to prove that the alleged violation(s)occurred.