complaint·February 7, 2022

Stage 2 involves superficial damage of the skin. The top layer of skin is lost. It may also look like a blister. At this stage, the top layer of the skin can repair itself. Per file review of facility communication log, facility was in regular communication with home health in reference to the skin issue of R1.Based on the information gathered during the investigation and review of documents obtained, LPA is unable to ascertain if the allegation occurred as reported. Although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove or refute the alleged violation occurred; therefore, the above allegation is deemed UNSUBSTANTIATED On allegation that resident's tubing and bandages had not been changed for an extended period of time, the following were the findings. Resident 1 (R1) had been in the facility since December 19, 2016. In August 25, 2020 R1 underwent a right kidney tube insertion. After discharge, R1 was managed by a home health agency which had R1 under care since February 18, 2018. Home health nurse was in charge of following up the status and care of kidney tube. Per interviews, care staff were trained what to observed for and when to refer to the home health. Home health visits to address the insertion site care were documented. Thus, the allegation is UNSUBSTANTIATED. LPA Marin conducted an exit interview with AD R. Buboi and copies of this report was left in the facility.