Complaint Investigation Report

R1’s physician’s report stated that R1 wore diaper and sometimes had difficulty swallowing. However, R1 did not require skilled nursing care. The medical service progress note noted the physician ordered the staff to monitor R1’s ability to take medication by mouth and ordered the staff to monitor R1’s continence in toileting needs. The physician did not deny admission of R1.

An updated residential progress notes of R1 showed R1 was discharged several days later after admission. It was noted R1 was not able to maintain his/her hygiene.

Based on record review and interviews, it was noted R1 was interviewed by a physician. R1 was admitted to the facility and being continuously monitored. The staff later observed R1 became an unfit in the facility. Thus, a discharge note was issued to R1.

Based on interviews and record review, the department has determined that the allegation was UNSUBSTANTIATED, meaning 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.

This report was reviewed with PM. A copy of this report was provided.