complaint·March 22, 2023

complaint. Interviews with both the licensee and the administrator deny the allegation of neglect, resulting in R1’s death. They both state on the night, prior to R1’s death, R1 was checked on constantly to insure no incontinence or bowel movement. A review of R1’s appraisal does indicate assistance with toileting needs. LPA also conducted interviews with facility staff, who denied the allegation of neglect, resulting in R1’s death. Staff confirmed routine check was made at approximately 6am when R1 was still responsive. According to the licensee and administrator, law enforcements were called when the paramedics arrived. Law enforcement, along with their supervisor, made their investigation, and ruled the death “Natural”. On 10/27/22, LPA spoke with R1’s family, who didn’t feel R1’s death was a result of facility neglect. R1’s family confirmed that there was awake staff that would check on R1 every two hours. R1’s family would visit R1 often and they would never observe R1 soiled in their diaper during their visits. R1’s family was satisfied with care and supervision provided and expressed no complaints. On 10/28/22, LPA received a copy of R1’s Death Certificate. Immediate cause of death is Cardiopulmonary Arrest. On 01/10/23, paramedic report was received. Per LPA review, there was no additional information on the report that had already been provided pertaining to R1’s condition at attendance. Although there was mention of neglect on the report, there were no witnesses or confirming evidence to indicate that R1’s death was a result of neglect. Based on the information obtained, there is insufficient evidence to prove that R1’s death was a result of staff not seeking medical attention in a timely manner, or staff not checking on resident in care. Therefore, the allegations are deemed Unsubstantiated at this time.