complaint·July 12, 2024

R1 had a heart condition, cellulitis, and wound care. Interviews with S1, S2, and S3 revealed the facility was aware of R1’s infection and followed all physician orders and assisted with all medications to treat the infection. S1 stated R1 had venous Statis dermatitis, but R1 was noncompliant with wound care instructions and does not elevate their legs. S2 stated R1 would remove bandages after home health came to treat R1’s wounds. S3 said R1 would sit in a chair all day which did not allow the wounds to heal. S3 also stated that all antibiotic regimens were completed but were not effective. S1 confirmed that the oral antibiotics were ineffective, so the facility arranged for R1 to receive an intravenous (IV) antibiotic treatment on 06/19/24. Interview with R1 revealed they were fine with how the facility provided care for their infection. Record review of R1’s MAR revealed they received three (03) ten (10) day cycles of an antibiotic from 04/24/24 – 07/05/24. Wound care notes indicated “co-morbidities and ambulatory status may contribute to delayed wound healing” and that previous regiments were ineffective in treating R1’s infection. Based on interviews and record review, the facility provided sufficient care to support R1. Therefore, the allegation is deemed UNSUBSTANTIATED at this time. Regarding the allegation “Staff are not giving resident medication timely” it was alleged R1 did not receive Tylenol until three (03) to four (04) hours after being requested. Interview with R1 revealed they had no issues with medication assistance and that S2 had explained to R1 that the facility could only provide one (01) dose of Tylenol every four (04) hours. S3 revealed that R1 was always provided with Tylenol when requested within the prescribed time frames. Record review revealed R1’s physician order for Tylenol stated “Take 1 tablet by mouth every 4 - 6 hours as needed for pain, max 6 tabs per day”. All entries in R1’s MAR were appropriately completed for each request. Based on interviews and record review, the facility assisted R1 with their medication in a timely manner. Therefore, the allegation is deemed UNSUBSTANTIATED at this time. Regarding the allegation “Staff are not assisting resident with transportation to medical appointments” it was alleged the facility was too busy to transport R1 to a doctor’s appointment and also to the hospital for R1’s infection. Interview with the ED revealed the facility arranged for transportation for both of R1’s emergencies on 05/18/24 and 06/19/24. Record review of transportation logs revealed the facility shuttle transported R1 to appointments on 05/01/24, 06/14/24, and 07/03/24. Interview with R1 revealed their requests for transportation were either changed or denied multiple times by S4. Interview with S4 revealed some previous request for transportation were denied, however S4 and the ED offered to arrange for alternative transportation each time. Based on interviews and record review, the facility arranged for transportation for medical care for R1. Therefore, the allegation is deemed UNSUBSTANTIATED at this time. No immediate health and safety risks were observed during today’s visit. Exit interview conducted. Copy of report provided.