complaint·June 5, 2021

Based on a review of records received, R1 received medical care at West Hills Hospital and Medical Center (WHH/MC) and 360 Home Health. R1 was hospitalized on 1/5/2021 and discharged on 1/16/2021. R1 was released from WHH/MC to West Hills Rehabilitation Center after the facility administrator refused to re-admit R1 back from the hospital due to R1 having developed an unstageable pressure injury while hospitalized. Although WHH/MC medical records indicate R1 has a stage 1 pressure injury upon admission, the wound deteriorated as stated in the hospital notes. Furthermore, 360 Home Health provided care for R1’s stage I pressure injury from 11/10/2020 until his hospitalization. On 3/13/2021, R1 returned to live at the facility under hospice after he was released from the rehabilitation center. During the investigation, Investigator Spindola was not able to obtain information that R1 was neglected by the facility staff, therefore the allegation is unsubstantiated. Exit interview conducted with the administrator and copy of report emailed .