complaint·June 25, 2022

A review of R1’s medical records show that before R1 was admitted to the facility, R1 had an ulcer on their right foot and a left shoulder fracture. While in the facility, R1 was receiving home health services on their left shoulder and was being treated for the ulcer on their right foot. On 04/28/2021, R1 had chest pain and emergency services were called. R1 was admitted to Kaiser Hospital. LPA reviewed R1’s hospital records from when R1 was admitted on 04/28/2021 and the care R1 received at the hospital afterwards. A review of R1’s medical records show that when R1 was admitted to the hospital on 04/28/2021, R1 did not have any pressure injuries. Based on the information obtained through interviews and a review of R1’s medical records, this allegation is deemed unsubstantiated at this time. Staff did not address a resident's change in level of care It is alleged that the facility did not address R1's change in level of care while at the facility. Interviews were conducted with facility staff and R1's responsible person. LPA also reviewed R1's medical records which detailed the R1's medical issues and care provided. Information obtained from interviews and medical record review does not show that the facility failed to address any change in the level of care to which R1 was receiving while at the facility. Based on the information obtained this allegation is deemed Unsubstantiated at this time. Exit Interview conducted. Copy of report issued.