complaint·March 3, 2023

Continued from 9099 The Discharge summary from SNF, dated 04/20/2021, notated an observation of red and dry skin on the Mid-back of R1 however, there was no indication of scabies. Facility did not conduct a pre-appraisal on R1 prior to accepting R1 back to the facility though, on 04/22/2021, Staff 1 (S1), informed Administrator Lori McKay of redness on R1’s back. McKay informed R1’s primary care physician and awaited instructions. On 04/23/2021, R1 went to R1s dialysis appointment, at which time R1 was transported back to a local hospital due to low blood pressure. R1 did not return to the facility. LPA interview with the family member of R1 revealed that R1 never complained of any symptoms related to scabies while residing at the facility. Based on R1’s Physician Report dated 04/19/2021, R1 is able to communicate R1s needs and able to follow instructions. Further interview with R1s family member revealed that R1 was in communication with the family member and that R1 was mostly impacted with symptoms of scabies while residing at the SNF. Per the Reporting Party (RP) it was unclear where R1 was infected with scabies, however, upon admission to the hospital on 04/23/2021, R1 was present with scale and excoriations all over R1s trunk and extremities with pruritus. Based on information gathered during this and previous visits, even though R1 was admitted back to the hospital with scabies on 04/23/2021, the department does not have sufficient evidence to determine that R1 contracted scabies while in care of the facility. Therefore, the allegation that resident in care has scabies has been deemed UNSUBSTANTIATED at this time. Exit interview conducted and a copy of the report issued.