complaint·August 16, 2022

Regarding Allegation #1 : this investigation revealed that Resident #1 moved into the facility on 01/28/20. On 02/13/20, facility staff notified the resident's doctor to advise of a rash on the resident's inner side of both arms that the resident was complaining of itchiness. On 04/14/20, a call was placed to the resident's doctor to let him know of the rash to the resident's left arm; and, staff was given a video call appointment for 04/15/20 at 2:30 p.m. and a physician's order for medication (hydrocortisone cream) was prescribed for atopic dermatitis. On 08/07/20, Resident #1 received the referral for a dermatologist. On 08/25/20, Resident #1's Responsible Person took the resident for its dermatology appointment and Resident #1 was diagnosed with papular dermatitis and possible eczema on upper trunk and worsening on hands. Resident #1 was prescribed medications (Ivermectin and Elimite cream) to apply cream and take pill once and repeat in one (1) week. On 09/17/20 a second call was placed to Resident #1's Dermatologist (Dr. David Thomas Robles, M.D., PhD) to request a second treatment for the scabies. Based on interviews conducted of facility staff, the majority indicated that there were no reports of staff members or residents diagnosed with scabies (between 01/28/20 - 09/22/20); therefore, when Resident #1 was admitted to the facility, the resident already showed signs of atopic dermatitis and later diagnosed with scabies on 08/25/20. Based on the evidence gathered and interviews conducted and records reviewed, although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur; therefore, the allegation of NEGLECT/LACK OF CARE: Resident sustained scabies while in care is found to be UNSUBSTANTIATED. An exit interview has been conducted and a copy of the Complaint Report was provided to Administrator (Laura Hernandez).