complaint·July 8, 2024

summary of the IB investigation and it’s finding of the allegation. Resident #1 (R1) was admitted to the facility on 09/26/2022 and already being regularly treated by hospice nurses and wound care physicians prior to being admitted. Once the facility retained R1, the wound care services continued for R1’s wound, and the Administrator, including staff, treated the wound in between skilled nurses’ visits and per hospice care instructions. Investigator Santana reported that the complainant was under the impression (R1) developed the wound while in the care of the facility, and that the facility was not allowed to retain or admit (R1) with the wound. Further information by Investigator Santana revealed, the facility met the necessary requirements to retain and treat R1, therefore, based on the investigation conducted by IB investigator Santana, and all information obtained, through interviews and documentation, the allegation is deemed UNSUBSTANTIATED at this time. Allegation # 2: “Staff left resident soiled in feces”. On October 14, 2022, from 930am to 12pm, former LPA Wendell Smith, conducted the initial complaint visit, as well as conducted a physical plant inspection, reviewed, and obtained resident medical records, and interviewed staff. LPA T. Cabiness reviewed facility documents, resident and medical records, and other documentation pertaining to allegation # 2 on various dates and times, in October 2022, December 2022, July 2023, and December 2023, and May 2024. On 05/24/2024, LPA T. Cabiness conducted a subsequent visit and interviewed staff, as well as obtained additional documentation. From the information obtained, resident # 1 (R1) was diagnosed a severe medical condition that caused diarrhea. It was reported to LPA that staff had to change R1’s diarrhea several times throughout the day. On the day in question, pertaining to the allegation, although it was reported, R1’s diaper was soiled with feces, it was due to R1’s medical condition, and not by the negligence of staff. Therefore, based on interviews, and documentation, there is insufficient evidence to prove the allegation, and it’s Unsubstantiated at this time. Allegation # 3: “Staff are severely restricting residents’ visitation ”. On October 14, 2022, from 930am to 12pm, former LPA Wendell Smith, conducted the initial complaint visit, as well as conducted a physical plant inspection, reviewed, and obtained resident medical records, and interviewed staff. LPA T. Cabiness reviewed facility documents, resident and medical records, and other documentation pertaining to allegation # 3, on various dates and times, in October 2022, December 2022, July 2023, and December 2023, and May 2024. On 05/24/2024, LPA T. Cabiness conducted a subsequent visit and interviewed staff, as well as obtained additional documentation. From the information obtained, R1 was scheduled for a home health nurse to visit and provide services. On the day in question, (2) home health nurses showed up to the facility at the same time. There was a schedule conflict and the Administrator requested (1) nurse to provide the services for R1. Therefore, based on interviews, the allegation is Unsubstantiated at this time. Exit interview and copy of report provided to Administrator.