Complaint Investigation Report

Staff did not ensure resident's wounds care needs were met.

The complaint alleged that resident R1 had not been receiving proper wound care, resulting in the development of additional wounds and a decline in health. On December 20, 2024, the department interviewed the Administrator (A1), who denied the allegation. A1 stated that R1 receives care from LCHHS and UCHC, with both agencies visiting the facility once a week, for a total of twice-weekly care. Nurses also see R1 during these visits. Additionally, facility staff check R1's bandages daily and change them if necessary.

On the same day, the department interviewed two staff members (S1 and S2), who also denied the allegations and confirmed that two agencies provide wound care for R1 and assist with activities of daily living. The department also interviewed six residents (R1-R6), all of whom denied the allegations and stated that the facility provides good care. R1 specifically mentioned that the wounds on their toe are improving and that nurses visit once a week to assess and treat those wounds.

On June 26, 2026, the department conducted an interview with the Administrator (A1), who denied the allegation. The Administrator (A1) stated that two agencies, LCHHS and UCHC, each visit Resident 1 (R1) once a week to provide wound care and assist with activities of daily living. Additionally, the department interviewed two staff members (S1 and S2), who also denied the allegations and stated that when the wound care agency is not present, they assumed R1's care.