Complaint Investigation Report

Staff did not ensure client's podiatry care needs were properly met. - UNSUBSTANTIATED

It was alleged that management do not promptly make appointments for Client 1 (C1) to get their toenails clipped/trimmed.

C1’s Physicians Report states that C1 requires assistance with some of their personal needs such as bathing. C1 is able to dress and feed themselves. C1’s admission agreement states that C1 is assisted with bathing and personal needs, as required. LPA reviewed care notes dated 12/17/2025 which state spoke with C1’s family member who stated they had talked to C1’s primary doctor about the fungus on C1’s big toes. C1’s primary doctor wanted to prescribe C1 with a medication but C1’s family decided against it. C1 had an appointment with primary on January 2, 2025, and family stated staff can speak with the doctor about C1’s feet at that appointment.

Staff interviews revealed that C1 doesn’t like people touching their feet. Family has been aware if this, the facility has been trying to get C1 in with their family member at the doctor. When C1 goes home to visit their family a family member trims their toenails. The facility has been trying to get C1 into see a podiatrist to obtain treatment for a fungal infection.

Licensee stated when C1 was initially admitted, the family informed staff that no one has ever been able to cut C1’s nails other than C1’s mother and their mother would continue to do so. Family explained they are not comfortable with any type of chemical medication or topical.

Licensee stated On 11/29/2024 the administrator spoke to family member (conservator) who reminded that C1 does not do well with podiatry and they did not want any medicated ointment used on C1 due to risk from chemicals. Family did see the point in having it looked at but that C1’s primary could look at it, appointment was scheduled for 01/06/2025.

Licensee stated Family did approve a non-medicated over the counter cream, but also stated that it would not work because the fungus is under the nail bed. Family member stated they would look at it and trim C1's toenails on their next visit.

It was determined that on 11/29/2024 administrator spoke with C1’s conservator about the need for C1 to see a podiatrist. That day an appointment was made for C1 to see their podiatrist on 01/06/2025. This allegation is unsubstantiated.