Complaint·January 12, 2026

(Continued from LIC 9099) to non healing wounds and R1 began receiving hospice services and had a wound specialist that visited two times per week starting on August 2-29, 2022. Hospice continued to monitor and the hospice nurse asked the medical director for assessment. Hospice requested R1 be sent to the hospital on August 29, 2022. LPA reviewed hospital discharge paperwork from August 29, 2022. Paperwork stated, R1, "...has had a long term history of non healing wounds due to severe dementia and functional quadriplegia. The wounds have been worsening to the point where her boarding care feels that they are unable to care for them. She was subsequently referred to the emergency department for evaluation." The principal problem, per hospital paperwork, was sepsis. R1 returned to the facility on September 2, 2022 and received hospice services. Resident passed away on September 4, 2022 at the facility. LPA interviewed two of two staff members who both recalled the incident. Two of two staff denied all of the allegations. LPA interviewed two of two witnesses. Both witnesses denied all of the allegations. Based on LPA's observations, record review and interviews the allegations that: Resident sustained multiple wounds in care due to neglect by facility staff, Facility staff did not seek medical attention for resident in timely manner and Facility retained a resident beyond their level of care are Unfounded. The allegations are false, could not have happened, and/or are without a reasonable basis. An exit interview was conducted with Administrator, Marites "Tess" Villanueva and a copy of this report and LIC 811, were provided to the facility.