complaint·August 15, 2024

Staff did not provide medical attention to resident in a timely manner. - UNSUBSTANTIATED It was reported that on 06/10/2024 Resident 1 (R1) had a notable large wound with fresh and dried blood on their head. Staff had said that R1 fell and they were not going to send R1 to receive care. LPA reviewed an incident report that states on 06/08/2024 Resident 1 (R1) was found on the ground in the courtyard. R1 had a visible injury to their head. Hospice was notified and instructed staff to call 911. Family was notified. R1 was transported to ER for evaluation and treatment. R1 returned to the facility the same day. Expressions Director stated R1 was on hospice and staff notified hospice that R1 had a fall. The hospice nurse instructed staff to send R1 out to the hospital. When R1 was brought back the ER had done basic wound care, had cleaned and bandaged the wound and gave instructions to wash gently, keep clean and dry, use antibiotic ointment and bandage the wound two times a day. Any time staff put the bandage on R1 would rip it off immediately. R1 would rip the bandage off numerous times a day. It was determined that after R1 fell they were transported to the ER for evaluation and treatment and returned to the facility the same day. Staff were providing first aid care and bandaging the wound but R1 would remove the bandage from the wound. This allegation is unsubstantiated. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove that the alleged violations occurred, and the findings are UNSUBSTANTIATED. An exit interview was conducted. A copy of the report was provided to Executive Director Sonya Gonzales.