complaint·July 8, 2024

On 07/08/24 LPA reviewed R1's After Visit/Discharge paperwork from their hospital stay between 05/13/24 to 5/20/24. LPA reviewed R1's medical assessment prior to admittance to this facility dated 04/26/24 and Home Health documentation dated 05/29/24. LPA also interviewed R1 who is no longer at this facility and interviewed R1's responsible person. R1 denied staff at this facility caused them to have an injury resulting in a bloody nose or mouth. R1 also stated they have occasional nose bleeds. Interview with R1's family member corroborates R1 will have nose bleeds due to nasal oxygen cannula use (a devise that delivers extra oxygen through a tube and into the nose). Review of R1's medical assessment reported, resident has a history of falling, respiratory disorders and uses an inhaler and oxygen. Interview with administrator and staff on 05/22/24 revealed R1 has a history of nose bleeds caused by oxygenation through nasal cannula. R1's discharge paperwork from 05/20/24 corroborates R1's use of oxygen and that R1 was admitted due to low oxygen and low blood pressure. According to the administrator they deny causing injury to R1. According to staff #1(S1) and administrator on the day R1 was admitted to the hospital, R1 had not experienced a fall or an injury. Furthermore, S1 states they had checked on R1 who was lying in bed. According to S1, R1 was unresponsive and S1 checked R1's vitals then called the administrator, and contacted 911. Interview with S1 reveals they did not witness R1 actively bleeding or observed dry blood around R1's nose or mouth. Based on interviews conducted, and records reviewed there is insufficient evidence to support the allegation resident sustained an unexplained injury while in care . Therefore, the allegation is Unsubstantiated. Exit interview conducted, a copy of this report was signed and provided.