complaint·August 10, 2022

interview (former) Resident #1 due to the resident's passing on 07/14/22. LPA/RA reviewed (former) R1's records between 10:00 a.m. - 11:00 a.m. and obtained copies of pertinent documents: Physician’s Report, Admissions Agreement, Emergency I.D. & Information, Appraisal Needs and Services Plan, Clinical Flex Notes, and Dermatologist Notes; Staff and Resident rosters. Regarding Allegation #1 : this investigation revealed concerns of unreported scabies had been diagnosed to Resident #1 on 06/05/20 and not reported to the Public Health Department. Resident #1's skin condition was discussed with Administrator Garcia, Asst. Administrator Lackey, and Staff #3 relating to Resident #1's scabies treatment. Administrator Garcia stated that Resident #1 had been in isolation (in a private room) since the day of the "suspected" (not confirmed) scabies diagnosis, effective 06/05/20. Resident #1's responsible persons were informed by Staff #3 that facility staff monitor the resident during showers and a "fully body skin check" is conducted on a monthly basis. A review of Resident #1's Physician's Report (dated 07/14/21) documented under, "Physical Health Status" that Resident #1 had no history of skin condition or breakdown. A review of Resident #1's Appraisal/Needs and Services Plan (dated 01/14/22) documented under, "Physical Health" that Resident #1 was at risk for skin breakdowns due to incontinence and immobility. A review of Resident #1's "Clinical Flex Notes" (dated 06/05/20) documented the onset of "suspected" scabies diagnosis by the resident's Dermatologist and reported "just based on clinical presentation - did not do biopsy to confirm" scabies. When facility reported it to the Public Health Department, two (2) nurses came on the phone who said that it wasn't necessarily being lodged against the facility; as no other residents had scabies. This is a precaution. If only one (1) incident of scabies can be documented then the facility did not have an obligation to report it. Asst. Administrator Lackey indicated that it's been reported by the home health nurse (dated 07/22/22) that Resident #1 had been diagnosed with Bullous Pemphigoid. Based on the evidence gathered and interviews conducted and records reviewed, the preponderance of evidence standard has not been met; therefore, the allegation of OTHER: Facility failed to report resident with scabies to local public health department is found to be UNSUBSTANTIATED. An exit interview has been conducted and a copy of the Complaint Report was provided to Asst. Administrator (Lorie Lackey).