complaint·September 19, 2024

In regards to the allegation "Staff did not seek timely medical care for resident" it was alleged that R1 developed an open wound which went unnoticed for several days without wound care or dressing changes resulting in it becoming infested with maggots. (6) of (6) Staff denied the allegation. (5) of (5) Residents interviewed denied the allegation. Staff interviews state that R1 receives wound care from a wound specialist weekly that is covered by their insurance. R1 has been receiving wound care for several months and it is not a new condition. The wounds are non pressure related. Staff interviewed added that they do not provide wound care for residents because they are not trained for it. Only a professional is able to do that but if any immediate issues arise, they will contact the nurse on shift or the wound care agencies to determine what assistance is needed. File review shows the last date that R1 received wound care by their specialist was on 9/10/24. Notes from that visit do not show signs or maggots or infections. On this same day during the night medication shift, S6 noticed that R1 had pulled their wound bandage back revealing possible maggots under the bandage. Facility was advised to transport R1 via non emergency ambulance transportation by their doctor. Ambulance arrived on the morning of 9/11/24 to transport resident. This shows the facility sought timely medical care for resident once they were aware of issues with their wound and was not an unnoticed wound left unattended for several days. Based on the interviews, files reviewed, and observations conducted there was not enough supportive evidence to concur with the reported allegation; although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegation is Unsubstantiated. Exit Interviewed conducted and a copy of this report was provided.