complaint·December 17, 2024

The allegation of “Facility staff did not seek timely medical care for resident” alleges that facility staff did not seek timely medical care for R1’s facial wound. During the 11/01/2024 visit LPA Byrne interviewed S1. S1 stated that they noticed the wound on R1’s face bleeding through the bandage on 10/15/2024, the day that the Resident arrived to the facility. S1 immediately informed the facility Administrator of the resident’s wound. During the interview with the Administrator, they stated that R1 was first seen by a hospital on 10/18/2024. When asked why there was a delay in seeking treatment the Administrator stated that R1 was doing okay, they thought they could take care of the wound. The interview with W1 confirmed that R1 was first hospitalized on 10/18/2024 and returned to the facility later in the evening on the same day. Based on the information obtained during interviews there is sufficient evidence to support the allegation that facility staff did not seek timely medical care for resident. Therefore, the allegation is deemed Substantiated at this time. The allegation of “Unlawful Eviction” alleges that the facility did not follow proper eviction procedures for the eviction of R1. During the 11/01/2024 visit LPA Byrne interviewed the facility Administrator. The Administrator stated that during the time R1 resided at the facility they had not signed an admission agreement. The Administrator stated that R1 was sent to the hospital on 10/24/2024 and did not return to the facility. The interview with W1 revealed that on 10/24/2024 they were present at the facility when paramedics arrived to transport R1. W1 stated that the Administrator plainly told them that R1 could no longer stay at the facility due to being a liability. W1 stated that, “Without a question she was evicted.” LPA Byrne reviewed the facility file and confirmed that no eviction notice was submitted to the regional office regarding R1. Based on the information obtained during interviews and file review there is sufficient evidence to support the allegation of unlawful eviction. Therefore, the allegation is deemed Substantiated at this time. The following deficiencies were cited (refer to LIC 9099D). A copy of the report was printed, appeal rights were provided, and exit interview was conducted. The allegation of “Resident sustained unexplained facial wounds” alleges that Resident #1 (R1) sustained an unexplained facial wound while in the facility’s care. During the initial visit on 11/01/2024 LPA interviewed the facility Administrator. The Administrator stated that the resident arrived to the facility with a wound present on their face, this was corroborated by an interview with a family member of R1 (W1) who stated that the wound on R1’s face was present prior to their acceptance into the facility. An interview with Staff #1 (S1) revealed that they observed the wound on R1’s face the day they arrived to the facility and immediately informed the Administrator. Based on the information obtained during interviews there is not sufficient evidence to support the allegation of resident sustained unexplained facial wounds. Although the allegation may have happened or is valid there is insufficient evidence to support the allegation. Therefore, the allegation is deemed Unsubstantiated at this time. Exit interview conducted. Report was reviewed and a copy was provided.