Complaint·May 15, 2024

During the investigation LPA reviewed documents including the Unusual Incident/Injury Report (UIIR) dated February 28, 2024 and March 8th 2024 for R1. Per the first UIIR on February 26, 2024 an ambulance was scheduled for R1 and R1 was transported to the ER for skin alteration. Per the second UIIR on February 29, 2024 Home Health Nurse recommended for R1 to be sent to the Hospital for skin alteration. Records reviewed by LPA included the Unison Health Services Home Health Plan of Care dated February 29, 2024 to April 28, 2024. Per Plan of Care Home Health staff will instruct on disease process of cellulitis and hemiplegia management and prevention of disease exacerbation and potential complications and importance of prompt reporting to the Primary Care Physician (PCP). Based on the information gathered during the investigation and review of documents obtained, LPA is unable to ascertain if the allegation occurred as reported due to insufficient evidence. Therefore, the allegation has been deemed to be UNSUBSTANTIATED. LPA Ramirez conducted an exit interview with facility representative, and a copy of this report was provided to the facility.