Complaint·November 2, 2021

The Department has investigated the complaint alleging: Resident suffered numerous wounds while in care. The Department conducted interviews of R1’s Home Health Agency personnel, R1’s family members and facility personnel. The Department conducted a records review of R1’s facility file, Home Health record and Kaiser Medical Record. Based on interviews conducted and records review, R1’s diagnoses can cause swelling and skin related injury. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove that the alleged violation did or did not occur. The allegation is UNSUBSTANTIATED. The Department has investigated the complaint alleging: Staff handled resident in a rough manner causing injury. The Department interviewed R1 who provided inconsistent statements related to the allegation. Based on interview, Home Health Nurses and Therapists met with R1 multiple times weekly and did not report concerns or abuse. The facility Wellness Director reported that due to R1’s diagnosis, R1 was at high risk for skin tears and breakdown. Based on record review of R1’s Kaiser Medical Record, R1 reported being satisfied with the facility’s care and did not note any concerns. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove that the alleged violation did or did not occur. The allegation is UNSUBSTANTIATED. A copy of this report was provided and an exit interview conducted with Administrator