Complaint·July 19, 2021

Continuation from LIC 9099 On 12/03/2019 at 1:28 p.m. LPA Brian Balisi conducted the initial complaint visit, interviewed the Administrator Staci Marmershteyn, and obtained copies of pertinent documents relevant to the investigation. Investigator Garcia conducted interviews with R1’s relative on 01/25/2020 at approximately 1000 hours, the Administrator on 01/15/2020 at approximately 1130 hours, caregivers on 04/13/2020 at approximately 1828 hours and on 04/14/2020 at approximately 1320 hours, and R1’s case manager on 04/13/2020. Medical records were also obtained and reviewed. Information contained in the records revealed that R1 was diagnosed with bone cancer and initially misdiagnosed at the hospital with a hip and rib fracture. After further evaluation during a pre-operative procedure for the alleged hip fracture, blood work detected metastasized cancer cells in the bones. A hip fracture was noted however, per the report, the fracture was highly suggestive of metastatic disease leading to brittle bones. Caregivers interviewed denied R1 falling or injuring self while under their care and supervision. Prior to R1 complaining of leg pain, R1 slept through the night without any pain, complaints or incidents. On 11/28/19 at approximately 0800 hours the resident began to complain of pain in the leg area and was immediately transported to the hospital for medical evaluation. Tests conducted at the hospital revealed findings highly suggestive of cancer. Based on the information and documentation obtained and review, the Department does not have sufficient evidence to support the above allegation. Therefore, the above allegation is deemed Unsubstantiated at this time. Exit interview conducted and a copy of report given.