Complaint Investigation Report

interviews with pertinent residents, staff, and outside sources.

The facility serves elderly residents, most of whom, are non-ambulatory and receiving hospice care. LPA reviewed the resident facility and hospice care documents and found no evidence to support facility staff do not provide medications as prescribed or assist residents with incontinence care. Per interviews with staff and residents, staff rotates residents twice an hour and changes undergarments as needed. Two residents were being treated for Stage 2 pressure injuries. Interviews and records indicate the injuries are healing and residents are receiving wound care.

None of the residents expressed concerns with any of their care. Staff interviews did not give LPA any indication that they were not carrying out care and supervision. LPA observed the facility to be neat, organized and clean. Residents were wearing clean clothing and bedding appeared clean without offensive odors. LPA observed resident medications and records. Medications were packaged and organized by resident and revealed no indication that they had not been administered as prescribed. Outside source interviews were complimentary of the facility and care being provided and offered no information to substantiate the allegations.

The Department has investigated the aforementioned allegations. Based on interviews, LPA observation and review of facility and hospice records, LPA found insufficient evidence to prove the allegations occurred as reported. The preponderance of evidence standard was not met; therefore, the allegations are Unsubstantiated.

An exit interview was conducted with Ms. Pacleb, to whom a copy of this report and Licensee/Appeals Rights (LIC 9058 01/16) were provided.