complaint·September 23, 2025

(continued from 9099) The investigation revealed. Allegation: Staff did not ensure resident's bandages were changed. It is alleged that the facility is sending R1 with the same uncleaned bandages from two (2) days ago when R1 was last at dialysis center. LPA interviewed five (5) staff, and all five (5) staff denied the allegation. Several staff stated that they do not change any bandages for R1 because that is done by Home Health Agency. LPA interviewed ten (10) residents and ten (10) of ten (10) residents could not corroborate the allegation. R1 has been going to dialysis 3 times a week and has had home health visit three times per week, the day after dialysis to inspect the portal site. The facility just got the physician's order for additional home health services on 09/19/2025. The facility stated they are prohibited from changing bandages and that it is the responsibility of Home Health to change/remove/inspect site and facility will be checking R1 after Home Health services R1, to make sure that Home Health is properly servicing R1. R1 stated R1 does not like to have the bandage on and will remove it. W1 stated they prefer that resident come in without bandage as it is for temporary use only. W1 stated that R1 did not come in with soaked bandage. There is not enough supportive evidence to support this allegation. Based on interviews, record review and observation, the information obtained during the investigation is insufficient to support 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 conducted and a copy of this report was provided.