complaint·May 16, 2023

Continued from LIC9099… Per hospice records, hospice nurses were in constant communication with facility staff and R1’s responsible party attempting to arrange doctor’s appointments through the VA regarding wound care needed beyond hospice services. During confidential interviews with facility staff, hospice nurses and responsible party it was confirmed that R1 had been provided with the medical care needed. Also, records review did not provide any supporting evidence to prove that staff did not seek medical attention for R1 allegation which is unsubstantiated meaning that 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 Regarding allegation of Staff did not turn resident resulting in pressure injuries. Per Reporting Party, R1 was admitted to Marin Health due to a non-healing forehead lesion that continues to increase in size and pain related to wounds caused by facility staff not been able to reposition R1 as necessary. During the investigation, LPA conducted confidential interviews and reviewed facility records for R1. Based on records review, R1 was admitted to hospice services and had been seen by a hospice nurse in average of two times per week until been discharged on 03/01/23 due to needed care of wounds beyond hospice services. According to hospice care notes, facility staff was also providing care and there were no concerns raised regarding R1’s care needs been met by facility staff. Confidential interviews with involved parties confirmed that R1 had been diagnosed with terminal degenerative disease of nervous system and as of January 20, 2023. R1 developed wounds in their feet. However, hospice nurse and R1’s responsible party corroborate that facility staff were repositioning and providing care to R1’s wounds as instructed by doctor’s order. A finding that the complaint allegations “Staff did not turn resident resulting in pressure injuries” is unsubstantiated meaning that 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. No deficiencies cited during today’s visit.