Complaint·November 14, 2024

Allegation: Resident sustained pressure sore while in care. During complaint investigation department completed interviews with staff, resident, family member, and reviewed facility records. R1 was observed to be on hospice. Hospice records indicated that R1 had a redness at time of admittance to Hospice. However, the redness was not noted whether it had grown in size. The facility records indicated resident was checked was check every couple hours by facility staff. The records provided stated residents was attended every couple hours throughout the day. Records review revealed the door note not to bother during night time. 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 deficiency were observed during this visit. Exit interview conducted, report signed and copy of this report provided for facility records.