Complaint Investigation Report

On the allegation: Staff did not seek medical attention for resident in a timely manner. LPA Rosales interviewed witness 1 (W1) which revealed R1 moved into the facility on 05/24/2021, that R1 had a scab on 5/24/21 and W1 noticed that it was looking bad so W1 went to the office and asked to have the Nurse S11 look at it. W1 stated that they do not know what caused the wound, that R1 fell 2 or 3 weeks before R1 moved into the facility, R1 is not diabetic but does have circulation problems, the hospital said that it was infected with maggots on 06/03/2021. S3’s interviewed revealed that S3 saw the R1’s right leg was swollen and R1 was limping after breakfast, R1 went back to R1’s room, S3 went to the R1’s room to check on R1’s ankle, R1’s ankle was oozing and S3 saw something moving, S3 turned on the flashlight and saw maggots in R1’s open wound, S3 stated that they called the Med Tech S10, S10 took a video of R1’s wound and sent it to the Nurse S11 on 6/3/21. S3 stated that all the Nurse said was to put a bandage over it, S10 put a bandage over it, S10 went back to put another gauze and noticed that the wound was getting bigger, Administrator Therese called W1 to tell W1 about the wound and W1 scheduled a doctor's appointment for 3:15pm, because R1 could not walk and was in alot of pain R1 went to the hospital that day and was out for a couple of days. S10’s interview revealed that on 6/3/21 S10 was working as the Med Tech in the Matilija building, S10 saw an open wound at approximately 9 am on R1’s ankle with maggots, S10 stated that this was the first time S10 had observed a wound on R1’s ankle, the wound was approximately the size of a dime, S10 let Therese (Administrator) know about R1’s wound because R1 was complaining of pain, S10 showed Administrator the video with the maggots, Administrator got ahold of W1 who made an appointment for R1 to see the doctor at 2:30 pm, the wound grew bigger in the afternoon around 2 pm S10 told Administrator that R1 was in alot of pain and R1 needs to go now to the ER, Administrator agreed and took R1 to the ER. S5’s interview revealed W1 asked Administrator to ask S11 to look at R1’s wound the day before R1 went to the ER, Administrator wrote an observation note on the day R1 went to the hospital indicating R1 had a weeping wound even though it was filled with maggots, R1 was gone around 2 nights, it was Thursday 6/3/21 is when S3 found the wound and called S10 to look at it as S11 was not there. S2’s interview revealed the Nurse S11 was told by W1 that R1 had a wound on the right ankle, S2 was not sure if anyone assessed the wound,