complaint·March 30, 2022

In November 2021 R1 was sent out to the emergency department due to a change of condition and was diagnosed with a stroke. Upon admission to the hospital resident was noted to have left ankle cellulitis. R1 remained in the hospital and then a skilled nursing facility (SNF) until returning to the facility on 12/21/21. LPA reviewed discharge paperwork from SNF which documented several skin conditions on R1 upon being discharged. R1 was sent out to the emergency department again on 1/4/22 due to change in condition. LPA reviewed hospital documentation, and there was no documentation indicating resident had an injury. Relevant Party indicates on 1/5/22 a bedsore was discovered. LPA spoke to a Homehealth representative, in which they stated R1 did not have a stageable wound and the skin tear was healing. Due to the information gathered LPA finds allegation to be UNSUBSTANTIATED. 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. Exit interview conducted. In November 2021 R1 was sent out to the emergency department due to a change of condition and was diagnosed with a stroke. Upon admission to the hospital resident was noted to have left ankle cellulitis. R1 remained in the hospital and then a skilled nursing facility (SNF) until returning to the facility on 12/21/21. LPA reviewed discharge paperwork from SNF which documented several skin conditions on R1 upon being discharged. Skin conditions documented are not a prohibited health care condition. LPA spoke to R1’s homehealth in which they stated client did not have a prohibited healthcare condition. R1 was sent out to the emergency department again on 1/4/22 due to change in condition. LPA reviewed hospital documentation, and there was no documentation indicating resident had a prohibited healthcare condition. LPA interviewed R1 in which they stated they feel facility staff are caring for them properly and indicated they have had skin issues on and off for many years. Due to the information gathered LPA finds allegation to be Unfounded. A finding that the allegation is unfounded means that the allegation is false, could not have happened, and/or is without a reasonable basis. Exit interview conducted.