complaint·September 5, 2023

documentation reviewed revealed staff reporting that R1’s gown and comforter had drops of blood, along with blood being collected on the chuck and soiled dressing on R1’s right ear, and that hospice was contacted to assist and change the dressing. R1 is noted on May 19, 2021, R1 had a visit with from the hospice agency staff who had provided wound care for R1 including have covered the wound on the right ear with a dressing/gauze. Per the facility observation logs 30 minutes after hospice left, R1 was noted to have removed their dressing again. The observation logs notes that facility staff contacted R1’s hospice agency at 12:05pm and was informed that they would send someone out. Facility staff is noted to having called the Administrator as hospice had not shown up as of 2:10pm, also noting that most of the blood was cleaned up. LPA conducted a physical visit to the facility on May 21, 2021. LPA did not observe any flies, in R1s room or flying around the facility. R1 was observed to be sleeping and noted to have clean bedding and clothing. LPA was unable to interview R1, due to them being asleep, and reported to be transitioning. R1 did not wake up at any point, during the time of LPAs visit. Per staff interviews conducted revealed that staff denied the allegation and stated that it has been an ongoing occurrence with R1 picking at their wound and removing the dressing, and that the bedding is changed as often as it is needed, as a result of the wound picking. Based on observation, interviews and record review the allegation of neglect of resident in care is UNFOUNDED. A finding that the complaint is unfounded means that the allegation is false, could not have happened, and/or is without a reasonable basis. An exit interview was conducted and a copy of this report was provided to Lora Statler, House Manager.