Complaint Investigation Report

The resident was admitted in September of 2023 but did not have hygiene added to the needs and service plan until January of 2024. Documentation indicates that R1's wounds were miscategorized as pressure wounds but were actually due to urinary incontinence. R1's physician report makes no indication of cognitive impairment for R1. During the course of an interview with R1, R1 denies any neglect by staff. Based on the records reviewed and interviews conducted the allegation of "Resident developed pressure wounds while in care due to neglect" is UNSUBSTANTIATED. A finding of unsubstantiated means that although the allegation my have happened, the preponderence of evidence does not prove it.

An exit interview was conducted and a copy of this report and appeal rights were provided.