complaint·July 7, 2023

On 04/05/23, IB conducted a record review of hospital records from Kaiser Permanente. Although there was mention of hospitalization for sepsis in the past, there was no indication of neglect. Furthermore, record review also revealed that R1 was taking multiple antipsychotics which can precipitate hypothermia “and may be the underlying etiology of R1’s hypothermia”. On 04/20/23, IB conducted a record review of hospital records from Northridge Hospital. R1 was admitted for altered mental status, but there was no indication of neglect. R1 was noted to be hypotensive and unresponsive in route to the hospital. On 05/18/23, Investigator Spindola interviewed facility Med Tech/Staff 3 (S3), who stated that R1 “was in general poor health”. S3 stated that on 03/03/23, R1 wouldn’t eat, and vitals were low. The Fire Department was called to take R1 to the hospital because EMT would not. On 05/18/23, Investigator Spindola interviewed R1’s family. They gave no indication of neglect while R1 was under the care of the facility. Based on the information obtained by IB, through interviews and hospital record review, there was insufficient evidence to corroborate that allegation of R1 developing sepsis while in care. “Although R1 was hospitalized with chronic sepsis and was Bradycardic Hypotensive, according to R1’s medical records, it was medications that precipitated the hypothermia and R1 had a medical history of chronic sepsis”. Therefore, the allegation is deemed Unsubstantiated at this time.