complaint·June 18, 2021

R#1 was admitted to the facility on 05/01/20 and an initial body assessment was conducted which indicate that R#1's skin was intact. There were no bruises, lacerations, rashes or skin breakage. On 05/21/20, a physical assessment was also conducted on R#1's back and lower body which indicated that there were no redness, pressure injuries or bruising. R#1's legs were intact and no swelling. There was no bruising or lesions on R#1's arms. On 05/27/20, another body assessment was conducted by facility staff and R#1's skin was clear and intact. On 05/29/20, another body assessment was conducted on R#1's upper extremities and revealed that there were no dryness, abdomen was round and soft, skin appears moist. Skin in abdomen and back area had no redness or bruising. No signs of skin breakdown, sores or lesions on the lower parts of R#1's body. The groin area was intact. Legs were not swollen. Interview with R#1's family member had no mention of nor observed any pressure injury or skin breakage to R#1. R#1 was not able to provide specific information regarding the pressure injury. Hospital records dated 06/09/20 (service date: 06/09/20 to 06/22/20) indicated that R#1 has not taken blood pressure medication for 9 days while not in the faciity. Physical examination conducted by the hospital on 06/09/20 did not note pressure injury on R#1's extremity. It wasn't until 06/11/20 when hospital records indicate R#1 had a decubital ulcer. On 06/15/20, a decubitus ulcer on the left buttock and on 06/16/20 a Stage III pressure injury. All while under the care of St. Francis Medical Center. Based on the departments record review and interviews, investigation revealed: 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 conducted with Cynthia Flores and copy of this report provided.