complaint·October 17, 2023

*** Report continued from 9099........ Allegation-- Resident sustained unexplained injuries while in care. LPA conducted interviews which included residents, administrator and facility staff. LPA also reviewed facility and medical records regarding R1. Record review and interviews indicated that R1 sustained unexplained injuries while in care. These injuries were partly explained by self-injury behavior on the part of R1, who has advanced dementia and R1s medical condition. Facility staff noticed wounds on R1s leg/shin around 08/09/23 and notified R1s doctor and responsible party (RP). EMS was called to seek medical treatment for R1 but R1 denied transport denied by R1s RP who wanted only first aid given at facility. Facility reached out to R1s primary care doctor multiple times regarding these wounds and had a virtual appointment on 08/22/23 and seen by dermatologist on 08/31/23. R1s doctor did not order any home health staff to take care of these wounds and ordered to be treated at facility by facility professional staff (nurses). Additionally, LPA found out that staff was using Hoyer Lyft with 2 persons assist to transfer R1 from bed to wheelchair as ordered by R1s doctor without any issues. From all this gathered information, it has been concluded that R1 sustained unexplained injuries while in care due to their medical condition and not due to lack of care and supervision by facility staff. Therefore, this allegation is UNSUBSTANTIATED. A finding that the complaint allegations is UNSUBSTANTIATED means that although the allegations may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violations occurred. No citations were issued today. Exit meeting conducted. A copy of this report has been provided to the facility.