complaint·February 1, 2024

Resident #1 was seen by physician on 1/18/24, and labs were ordered. Facility RN received lab results for resident #1 on 1/20/24, noted abnormal lab results and notified resident #1's physician. Physician ordered resident #1 to be transferred to hospital on 1/20/24. LPA was provided with documentation of chest x-ray, and lab results. Staff interviewed stated that resident #1's responsible party was notified, and provided documentation. Resident #1 was discharged to a skilled nursing facility, following hospitalization and has not returned to the facility. LPA observed that staff are reporting changes in resident #1's medical condition to resident #1's physician. Regarding the allegation that : Facility did not follow correct reporting requirements. The investigation consisted of review of resident #1's file, and interviews with staff #1 and staff #2. Staff interviewed stated that resident #1's responsible party /Power of Attorney (POA) is always notified regarding changes in resident #1's condition. Facility provided documentation that resident #'1's responsible party was notified regarding recent hospitalization. LPA observed that the facility submitted a special incident report to Community care licensing, as required. 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 allegations are UNSUBSTANTIATED. Exit interview conducted, and a copy of the report was provided.