complaint·January 4, 2024

Continued LIC812-C page 2 Allegation: Staff did not ensure resident's bandages were being changed. In response to this, allegation interviews were conducted with both staff members 1-2 (S1-S2) and residents 2-8 (R2-R8). The collective feedback from these interviews unanimously indicated no issues concerning bandages not being changed. Resident 1 (R1) stated the issue with changing the bandage on the left leg was resolved. S1 stated if a resident has a stage one or two pressure injury condition it is diagnosed by a physician or an appropriately skilled professional. S1-S2 stated all aspects of care performed by the medical professional and facility staff are documented in the resident's file. Residents 1-8 (R1-R8) expressed their satisfaction with living at the facility, highlighting the respect, dignity, and quality of care they receive. They also commended the facility for providing a secure, healthful, and comfortable living environment and they were happy. S1-S2 refuted the allegation, reinforcing the commitment to safety and well-being upheld at the facility. Investigation revealed the following: During interviews, staff members S1-S2 they emphasized that the wound care needs of resident 1 are being meticulously addressed by a UCLA wound care clinic. They elaborated that for certain residents, Home Health Agencies are engaged to administer bandage changes and specialized dressing services on-site. It was categorically stated by S1-S2 that the facility’s nurse is not involved in direct wound care services but plays a supportive role. S1-S2 and the facility nurse have conducted thorough briefings with all residents regarding the wound care procedures. Addressing specific concerns, S1-S2 assured that no resident is expected to self-administer wound care. They emphasized the facility’s commitment to providing essential support and supervision, particularly for residents receiving home health care services. For residents with stage one or two pressure injuries, diagnosis, and care are exclusively managed by physicians or qualified professionals, with all care procedures meticulously documented in the resident's files. Residents R1-R8 have affirmed the adequacy of care and supervision provided by the staff. S1-S2 reiterated their comprehensive understanding and adherence to Title 22 Regulations regarding wound care procedures, firmly denying any allegations suggesting non-compliance or negligence. This collective testimony from S1-S2 and R2-R8 robustly refutes the allegation in question. Based on interviews, available evidence, observation, information received, and records reviewed there was not enough sufficient evidence to support the allegation. 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 is deemed unsubstantiated. A copy of the Complaint Investigation Report LIC9099, and LIC9099-C, was provided to the Administrator. There were no deficiencies cited. Exit interview conducted.