complaint·May 13, 2025

(continued from LIC 9099) Further review also revealed that there are times that R1 refused regular medical checkup at the facility and was referred to a podiatrist to see R1's foot but refused to see the Podiatrist on 02/08/24, R1 was hospitalized the next day (02/09/24) for this reason. Being a non-medical facility, the facility sends R1 to hospital and inform R1's PCP for all of R1's medical concern on a regular basis. Regarding the allegation that Staff neglect led to resident sustaining pressure injuries, it was alleged that R1 was admitted to the hospital and had to be treated for bed sores on her buttock area. LPA's record review revealed that immediately prior to hospitalization, R1 was at the pain clinic for an outpatient consult. During this encounter, Clinic doctors did not notice any break or injury on R1's skin and was "unremarkable" during this visit. LPA's interview with three (3) care staff during this visit revealed that no one among the three (3) care staff noticed any break or injury on R1's buttocks or any pressure area on R1's skin. Based on the information gathered during this and prior visit, the allegations are deemed unsubstantiated at this time. Exit interview conducted. Copy of this report issued.