complaint·November 19, 2021

Over time, R1’s wounds worsened even though R1 was receiving wound treatment and visits from a hospice nurse several times a week between 6/24/21 and 8/22/21. Eventually on 8/22/21, R1 was placed on continuous hospice where they had a nurse with R1 twenty-four hours a day. The reason for R1 developing deep tissue injuries was not due to facility negligence. A review of hospice records and wound treatment notes did not indicate that facility staff were negligent in treating R1 while R1 was at the facility. This allegation is deemed unsubstantiated at this time. Staff refused to seek medical attention for resident It is alleged that R1's responsible person suggested that R1 be taken to the hospital due to their condition and the administrator refused to see medical attention for R1. LPA previously conducted interviews with R1's responsible person on 9/8/21 and with the facility administrator on 8/31/21. LPA also reviewed R1's hospice records on 10/30/21. Information obtained from interviews revealed that R1's responsible person did inquire with the administrator about R1 going to the hospital. Administrator explained that R1's condition was being treated under hospice care and that she would call R1's hospice nurse which she did do. A review of R1's hospice file revealed that R1 was being checked on several times a week between 6/24/21 through 8/22/21 due to their condition. Based on the information obtained through interviews and record review R1 was not refused medical attention therefore this allegation is deemed Unsubstantiated at this time. Exit Interview conducted.