complaint·March 21, 2024

Continued from LIC 9099... It was alleged that staff did not adequately care for resident’s wound. It was reported that Resident #1 (R1) had come into the hospital with an open wound that had maggots in it. Information obtained during the course of the investigation revealed that R1 was admitted to the facility on 08/31/2021. Additionally, per R1 Physician’s Report dated 08/20/2021, it indicates R1 is able to follow instructions, able to communicate needs, does not require assistance for activities of daily living (ADL’s), is able to administer their own medications, and is ambulatory. Hospital records reviewed revealed that R1 was admitted to the hospital on 09/06/2023 due to left thigh cellulitis. Per hospital report, maggot infestation in chronic left lower leg wound located on lateral aspect of left shin. Visualized maggot movement while in the emergency room during admission. R1 reported this was a chronic wound that had been there for less than a year and was unaware of any maggot infestation. Additionally, records review of resident notes revealed that R1 had reported to facility staff that they were not feeling well; however, refused to have paramedics be called to the facility and assist. Instead R1 decided to wait for a family member to arrive and take them to the emergency room. Furthermore, R1 did not report cellulitis or wound to facility staff at any time prior to leaving the facility. And although R1 had cellulitis that became infected, R1 was independent while living at the facility and was capable of reporting wound to facility staff so that it could have been properly cared for. Based on the information obtained and reviewed, the Department does not have sufficient evidence to support the allegation of “staff did not adequately care for resident’s wound”. Therefore, it is being deemed Unsubstantiated at this time. It was alleged that staff did not ensure facility is free of insects. It was reported that a fly must have gotten into the dining area. During the facility walkthrough on 09/08/2023, the LPA observed the dining rooms and food areas in both assisted living and memory care. There were no flying insects or flies observed inside the facility at the time of the visit. Interviews conducted with staff revealed that the back door where all food deliveries are made has a large fan that blows air to keep flying insects out. Continued on LIC 9099C... Continued from LIC 9099C... Additionally, inside the kitchen on the walls, there are blue lights that also kill flying bugs if they were to get inside. Interviews conducted with residents revealed that they have not observed flies or insects either in their bedrooms or while at the dining room. Furthermore, records review revealed that facility has been utilizing Western Exterminator Company on a monthly basis with no concerns noted after maintenance treatment. Based on the information obtained and reviewed, the Department does not have sufficient evidence to support the allegation of “staff did not ensure facility is free of insects”. Therefore, it is being deemed Unsubstantiated at this time. Exit interview. No citations issued. Report was reviewed with the ED and a copy was issued.