Complaint Investigation Report

The physicians visit summary to this appointment states in the Plan of Care that a routine visit be scheduled on or around 4/28/2025 and the physician summary after C1 visited their primary care physician on 4/23/2025 shows a scheduled appointment with the podiatrist on 4/28/2025 at 9:30am. Staff interviews revealed they were not aware of this appointment and C1 missed the podiatrist appointment on 4/28/2025. LPA addressed the requirement for the facility to follow through with client appointments on a case management report at this same visit. The physician summary notes after C1 visited their primary care physician on 5/9/2025 indicate the next scheduled podiatrist appointment was scheduled for June 2025. LPA interviews revealed that on 6/9/2025 C1’s family took them to a nail salon for a pedicure and in June 2025 the facility transported them to their scheduled podiatrist appointment. Based on all interviews conducted and documents obtained, at this time the above allegation was found to be unsubstantiated , meaning there is not a preponderance of evidence to prove that the alleged violation occurred.

On the allegations: Staff are not meeting resident's hygiene needs and staff are not meeting resident's toileting needs. It was alleged C1 had ‘lacerations’ on their back due to using the doorway as a back scratcher because they were itchy, and C1 had feces on their backside due to facility staff not supporting client. LPA interviews and review of C1’s records revealed in November 2024 the facility arranged for C1 to be seen by their primary care physician at the soonest available appointment in January 2025 for a skin issue causing C1 to be itchy. At the appointment in January 2025 the physician ordered a topical prescription and Staff #1 (S1) stated they assist C1 apply the medication as prescribed to areas C1 cannot reach and C1 stated they receive assistance from staff to apply the medication. S1 stated C1 has never refused the topical medication. C1 has been seen regarding their itchy skin; by an urgent care doctor in April 2025, in the same month (April 2025) they had a follow-up with their primary care physician, another follow-up in May 2025, and again in June 2025. C1 stated they have itchy skin every summer and they feel, as of the LPA visit on 7/2/2025, the issue is improving. LPA record review of C1’s assessment, appraisal and physician report revealed C1 is able to care for their own toileting needs. C1 states they can take care of their own care needs and can ask staff for help if needed. S1 stated C1 refuses help from staff and is private. S1 reminds C1 to be thorough when caring for their personal hygiene. Based on all interviews conducted and documents obtained, at this time the above allegations were found to be unsubstantiated , meaning there is not a preponderance of evidence to prove that the alleged violations occurred.