complaint·March 12, 2025

R1 receives minimal assistance and can perform most aspects of daily living on their own. Record review of R1’s admission agreement and preadmission appraisal revealed R1 is self-responsible and does not require assistance with bathing, dressing, grooming, or eating. R1 also manages their own medications. R1’s medical assessment indicated that they had no cognitive impairment and are able to communicate their needs. Record review of R1’s discharge instructions revealed R1 was to rest, wear an arm sling, exercise, wait to bathe to allow stitches to heal, continue all regular medications, and take their temperature once daily to check for a fever. Interview with R1 at 1:30 p.m. today revealed facility staff did not check their temperature until today. R1 stated they tried to use the mounted thermometer in the lobby but were unsuccessful. Interview with Staff #1 (S1) at 2:00 p.m. today revealed care staff were aware of R1’s discharge orders. S1 was told by R1 that they did not need any assistance with following the discharge orders. Based on observations, interviews, and record review, R1 was capable of following all discharge orders on their own and able to communicate to staff when they needed assistance with taking their temperature. R1 did not report any need for assistance. Therefore, the allegation is deemed UNSUBSTANTIATED at this time. Exit interview conducted. Copy of report provided.