complaint·May 8, 2023

Continued from 9099 Prior to admission, R1 had been receiving services from Kaiser Home Health since 2019 for wounds located on the buttocks and lower extremities. Home Health records reviewed indicated that on 12/18/2020, R1 had a wound located on R1’s right lower extremity, which had completely healed. On 01/22/2021, R1 was observed by home health with an open wound to lower left leg that measured less than 1 cm x 1 cm and was to be treated by cleansing and changing dressings daily. Interviews conducted with home health agency nurse and R1’s Responsible Party (RP) did not indicate that the facility neglected R1, nor did they express any potential or immediate concerns regarding the care of R1. R1’s family further stated that R1 was regularly monitored by home health . Moreover, interviews with Facility staff further revealed, they would encourage and assist R1 with rotating, moving around and exercises to alleviate any pressure to lower left leg. Interviews and records review confirmed R1’s wounds were regularly observed and treated by home health and home health did not stage R1’s wound above a stage two. Based on information gathered over the course of the investigation, the department does not have sufficient evidence to determine that R1 sustained bed sores while in care due to facility lack of care and supervision. Therefore, the allegation that due to lack of care and supervision, the Resident sustained bed sore while in care has been deemed Unsubstantiated at this time. Exit interview conducted and copy of report issued. Signatures can be found on hard copy.