complaint·August 4, 2021

The investigation revealed the following: On 05/20/2021 hospital medical record reviews indicate that on 04/02/2021 R1 was “in no distress and had no injuries”. On 06/10/2021 doctors visit summaries indicate that on 11/10/2020 and on 02/09/2021 R1 was noted as being Cachectic (a complex syndrome associated with an underlying illness causing ongoing muscle loss that is not entirely reversed with nutritional supplementation).” On 06/10/2021 R1’s weight chart indicates that “R1 lost 12 pounds between 07/05/2020 and 03/15/2021.” On 06/02/2021 the administrator stated that “R1's appetite declined noticeably after getting their second COVID shot (on 02/13/2021)” and “R1’s medical team prescribed Ensure and that this was added to R1's diet as instructed. Despite the addition of Ensure, R1's weight did not increase.” On 6/26/2021 caregiver S1 stated that R1 continued to eat their meals and drink Ensure as well as the extra protein shakes. On 07/15/2021 witness PA stated that “R1’s change in weight is due to a decline in R1’s health and not due to neglect or lack of supervision. PA has never seen any evidence of abuse or neglect in the facility.” On 07/23/2021 witness RMC stated that: “The Regional Center was aware of R1’s decline in weight and the facility has been providing regular updates on R1’s condition.” Regarding the allegation” Staff neglect resulted in resident being hospitalized.” Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegation is unsubstantiated. No deficiencies were cited. An exit interview was conducted. A copy of this report was provided to administrator Frances Snoddy and staff Briana Simpson.