Complaint Investigation Report

Regarding allegation " Facility staff did not ensure resident's personal care needs were met": LPA Colvin conducted a review of the facility's file for R1 and reviewed outside assessments and reviews for R1, which detailed medical care and appointment dates. The allegation regarding needs not being met is specifically in regards to podiatry care. LPA Colvin reviewed these records for R1 and observed that R1 had a podiatrist which R1 would see every 2-3 months for regular foot care. In review of these records, LPA Colvin confirmed that R1 was seen by their podiatrist at least 11 times between the years of 2017 - 2020. This is close to the estimated 12 times that R1 would be seen if scheduled every 3 months. LPA Colvin did note that there was a gap in care in the beginning of 2018 when R1's insurance had changed. There is documentation which shows that the facility was working with R1's insurance as well as a new podiatrist to get a referral for continued care for R1. Therefore, based on record review, the allegation " Facility staff did not ensure resident's personal care needs were met" is UNSUBSTANTIATED.

A finding of UNSUBSTANTIATED means 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 with caregiver Shirley Digma and a copy of this report was provided.