Complaint Investigation Report

wound nurse confirm that R1 is able to walk with an assistive device however R1 preferred to stay and sleep on their recliner. Home health recertification (11/8/21 visit) conducted by a registered nurse (RN) notes state that R1's skin was pink and dry with Stage 2 pressure ulcers on both buttocks, and present with stasis ulcers. Additionally, former wound nurse and caregiver interviews confirm that R1’s wound areas were consistently washed and dried by facility staff and cleansed by the nurse. Wound nurse continued to see R1 till 11/26/21 noting that the buttocks ulcers had no drainage or symptoms and/or signs of infection. Home health visit on 11/29/21 was completed by RN noted that the buttocks ulcers were in the similar condition from 11/26/21.

RN visited R1 at a new facility in another county. On 12/1/21 RN stated that the buttocks ulcers had no drainage or symptoms and/or signs of infection. RN visited R1 on 12/3/21 and noted same instruction about R1 staying in a recliner. Additional 12/3/21 notes state no open ulcers, buttock's ulcers are pink, no drainage and no signed and symptoms of infection.

Based on the above information, the allegation is therefore unsubstantiated. A finding that the complaint is UNSUBSTANTIATED means 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 was discussed and provided to Margarita Stark.