complaint·March 16, 2023

A care plan was developed to care for the wound and treatment to be followed by the hospice nurse and facility staff. Instructions were for staff to turn R1 every 2 hours when hospice nurse was not present. As R1’s wound began to develop to a stage 3 on July 6, 2022, hospice increased treatment for wound care accordingly. On July 18, 2022, Hospice documentation noted that R1’s wound began to heal slightly; however, R1 passed away soon after. Therefore, LPA discovered that there was not enough evidence to corroborate that staff was neglectful in caring for R1 and was unable to dismiss the allegation. As a result, this allegation was deemed to be Unsubstantiated. A finding of UNSUBSTANTIATED means that 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. An exit interview was conducted where a copy of this report was discussed with and provided along with a copy of the LIC811 (confidential names list).