Complaint·July 21, 2025

Hospice records and daily logs from May and June 2024 show that R2 also received wound care two to three times per week, with hospice nurses occasionally making two visits in a single day. Regarding the allegation that staff left residents in soiled bedding, interviews conducted with residents revealed they have not experienced neglect in this regard. Residents reported that when they need prompt assistance, they use their call buttons and get assisted. It was also alleged that facility staff do not respond to resident’s call buttons in a timely manner to respond promptly to call buttons, two out of six residents reported experiencing delays when requesting assistance. Four out of six residents reported that staff respond to the call buttons in a timely manner, approximately within 15 minutes. Staff interviews revealed that telephones had been installed in resident bedrooms to improve emergency communication. During daytime hours, calls are routed to the receptionist; during the night, calls are transferred to the Med-Tech room. Although the allegations may have happened or is valid, there is no preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are unsubstantiated. An exit interview was conducted, and a copy of this report was provided.