complaint·January 16, 2024

The investigation revealed the following: In regards to allegation: " Staff not providing medical attention to resident’s pressure sore." It is alleged that R1 has pressure sores and is given the run around by staff on who can assist with applying anti bacterial ointment. It is also alleged that R1 used to receive wound care but it stopped. Interviews conducted with 5 of 5 staff members denied this allegation. Staff members interviewed indicated that they assist all residents and do their checks and rounds including diaper changes to residents 3x per shift, or every 2-3 hours. Staff indicated that they were given instructions on R1's care and cleaning procedures which they follow. Staff interviewed indicated that they never refused a resident's request to put ointment or cream on them, but sometimes there are certain creams/ointments that caregivers cannot apply, only nurses can. Staff indicated that nurses are responsible to verify the correct dose, assess and monitor the stages of the residents wound. Interview with R1 indicated that R1 understands that caregivers and nurses have different functions and denied stating that R1 was given the run around by staff. R1 stated that he is able to move around and just requires some assistance or supervision. R1 also stated that the staff help him. R1 stated that N1 gave him recommendations on proper and faster healing techniques. Interview with N1 revealed that R1's pressure sore was superficial and R1 was provided wound care. N1 stated that R1's pressure sore has been healed since, hence wound care ended. Interviews conducted with 10 of 10 residents denied the allegation and never experience given a run around by staff. Interviewed residents also stated that the staff assist them when they ask. Additionally, residents indicated that the facility staff are helpful and nice to them. LPA reviewed documents and records that showed Home Health Nurse and facility staff provided medical attention to R1 and that the facility staff and Home Health nurse communicated regularly with regards to R1's pressure sores. Based on statements and interviews conducted with clients and staff as well as reviewed files and documentation, there was not enough supportive evidence to corroborate 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 UNSUBSTANTIATED. Exit interview held and a copy of this report was provided to Brandie Mendibles, Facility Administrator.