Complaint Investigation Report
OS1 reviewed the documentation available to show the days and times R1 was visited and what treatment was completed. LPA Domingo interviewed Outside Source 2 (OS2), and they verified that R1 was being seen four (4) times a week or more when the open area was first observed.
OS1 reviewed the documentation available to show the days and times R1 was visited and what treatment was completed.
Outside Source 3 (OS3) was interviewed, and they stated that the facility and staff that cared for R1's wound care communicated any changes and provided updates regarding the progress of R1's wound care.
Records reviewed revealed the physician involved with R1's care was notified of the wound care and the progress of the wound. The records contained the type of wound care treatment and the description of the wound with each visit.
On December 27, 2024, a complaint was received alleging staff do not allow visitors privacy when visiting with resident. The complainant alleged that the licensee did not allow Resident 1 (R1) to visit with their family in R1's room. The complainant claimed that the resident's visitation rights were being denied without any valid reason.
On December 26, 2024, at 7:22 pm, when Staff 1 (S1) was entering R1's room to administer bedtime medications. S1 observed R1's family members were digitally removing R1's bowel movement. S1 told the family members to stop immediately. S1 explained that there were no physician orders for anyone to remove bowel movements from R1. S1 observed R1 to be moaning and grimacing. S1 reported what they observed to their supervisor. When S1 requested the family members to leave the door ajar so that other staff could provide supervision for R1, the family members immediately closed the door. The appropriate care providers were made aware, and they will be sending staff to check on R1's medical condition. The staff members interviewed stated that they are aware of facility policies and procedures related to visitation rights. They did not deny the family members from visiting.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction