complaint·April 21, 2022

Allegation #4 - LPA obtained facility documentation that reveals R1 was initially assessed and continued to be re-assessed throughout R1's stay at the facility. Allegation #5 - Resident was no longer residing at the facility to observe if clothes fit or did not fit properly. Staff #1, (S1) interviewed states R1's clothes fit properly and states R1 was cleaned and well kept. Allegation #6- Documentation reveals that R1 was on a service plan that addresses hygiene needs. Assessments made by facility notes changes and updates as needed. Allegation #7 - Documentation obtained reveals R1 doctors reports and summaries for each visit to a medical facility that were addressed in a timely manner. Allegation #8 - Interviews and documentation that reveal R1 personal property was safeguarded as the facility was providing supplies and other items for R1. Based on the information obtained there is not enough evidence that resident developed a pressure injury while in care, resident sustained multiple falls while in care, facility staff did not follow doctors orders, facility staff did not have resident re-appraised, facility staff did not ensure that resident had clothing that fit correctly, facility staff did not assist resident with hygiene needs, facility staff did not seek medical attention in a timely manner, facility staff did not safeguard resident's personal property. Therefore, the allegations were deemed UNSUBSTANTIATED at this 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.