Complaint Investigation Report

Staff did not ensure health conditions for client were addressed in a timely manner - SUBSTANTIATED

It was reported that a client was in constant pain for one year, was recently diagnosed with cancer, and the staff at the care home never addressed the client’s health issues.

LPA reviewed Client 1’s (C1) care notes from January 2024 through October 2024. Per care notes on 07/21/2024 C1 complained of stomach pain. C1 complained of stomach pain on and off through 07/30/2024. Per care notes on 08/01/2024 C1 had a medical appointment and was counseled that he needed to drink more water and change his diet. LPA reviewed medical appointment documentation for this 08/01/2024 visit which states that C1 was seen for medication refills with no changes to their medication. There was no mention in the medical appointment documents for this visit of C1 being examined or treated due to stomach pain.

Per care notes on 08/04/2024 C1 complained of stomach pain and continued to complain through 10/17/2024 of stomach pain for a total of 21 complaints to staff. There is no evidence that C1 was taken to a medical appointment after the appointment on 08/01/2024 and before the appointment on 10/04/2024.

LPA reviewed medical appointment document 10/04/2024 Mercy Medical Center Redding. ER for nausea and vomiting. Diagnosed with pancreatic lesions and multiple lesions throughout abdomen. Instructed to follow up with primary care doctor.

Per care notes 10/08/2024 C1 went to a medical appointment. LPA reviewed medical appointment document 10/08/24 Primary care physician medical appointment. ER follow up, review CT scans. Doctor notes Has liver cancer, follow up oncologist.

Per care notes 10/12/2024 C1 was at the doctor all day. LPA reviewed medical appointment document 10/10/2024 Dignity Health Mercy Oncology Center. Consultation.