complaint·September 30, 2025

Resident sustained skin issue due to lack of care from staff The department reviewed records, interviewed witnesses, staff, administrator and residents to investigate this allegation. Four staff and administrator interviews reflected that they were aware of resident, R1 health care needs who have been residing at the facility since 12/04/24. Staff interviews indicated that R1 was alert and orientated. R1s home health staff interviews indicated that R1 was getting appropriate care at the facility and there were no reportable concerns. Record review reflected that the facility was documenting all care notes per R1s care plan and R1 was receiving care from home health once a week and from other agencies and there were no issues to address. It was also noted that R1 had skin issues on different parts of their body prior to admission and all parties were aware about addressing those skin issues. Based on the information gathered, it has been concluded that even R1 was having skin issues which were noted during their hospital visit on 08/12/25, it was not due to lack of care from staff, therefore this allegation was found to be UNSUBSTANTIATED. Exit interview conducted. Report left with facility.