Complaint Investigation Report

Regarding the allegation, "Facility staff failed to contact POA regarding medical emergency" it is the concern of the reporting party (RP) that On 7/17/2025, Resident 1 (R1) was sent to St. John's Regional Medical Center due to a rash on their face (suspected shingles), however when the facility staff sent R1 to the hospital they did not notify the POA. To investigate the allegation the LPA conducted interviews and a file review. Interview with R1's Power of Attorney (POA) revealed that they were notified of R1's hospital visit however it was after R1 was already admitted to the hospital, and that the hospital would not release any information to them due to the hospital not being provided their information. R1's POA stated they did receive three calls from facility staff about the incident and it could have been the same day R1 was taken to the hospital but after they were already admitted. Interview with Staff 1 (S1) revealed that they attempted to contact R1's POA however the Resident Information form used at the time of R1's hospital visit had the wrong POA listed. They were able to get R1's POA contact information and do not recall the exact date but recall speaking to them. In addition they stated that residents are still to be attended in emergency situations regardless if they were able to successfully contact the POA. A review of R1's Inpatient Discharge Instructions from St. John's Regional Medical Center revealed that R1 was taken to the hospital on 07/21/25 which was the date confirmed by R1's POA that they were notified of the incident. Based on interviews and records reviewed this allegation is deemed UNSUBSTANTIATED at this time.

Exit interview conducted and report provided to the Executive Director.