complaint·August 23, 2024

Regarding the allegation “staff did not treat resident with dignity of respect” LPA reviewed video footage of Resident #1 and observed that on multiple occasions Resident #1 was questioned by staff for yelling for help in addition, LPA also observed staff reprimanding Resident #1 for having staff going into residents’ room all night. Based on the evidence gathered during the investigation, the above allegations are Substantiated. Substantiated: A finding that the complaint is Substantiated means that the allegation is valid because the preponderance of the evidence standard has been met. Title 22 regulations, Personal Rights 80072 (3); Personnel Requirements – General 87411 (a) from division 6, chapter, article 6, is being cited on the attached LIC 9099 D. An exit interview was conducted where this report (LIC 9099) was discussed, and a copy was provided, along with a copy of the appeal rights. to Facility Administrator Facility Administrator Julie Dion. Regarding the allegation “resident sustained a pressure injury due to neglect in care from staff”: LPA conducted interviews with staff regarding the allegation stated above, staff indicated that Resident#1 did not have a pressure injury however, staff did indicate that Resident #1 had redness and skin irritation, in which resident’s skin irritation was being treated with cream. Staff indicated to LPA that facility has no record on file for the pressure injury that is being indicated, because Resident #1 did not sustain a pressure injury. LPA conducted an interview with Resident #1 Primary Care Provider (NP), who confirmed to being the primary care provider from admission to resident#1 release. Nurse Practitioner stated that Resident #1 did not have a pressure injury but rather redness and skin irritation. Nurse Practitioner informed LPA that Resident#1 skin irritation was being treated with cream. NP informed LPA that Resident#1 skin irritation and skin break had eventually healed. Third allegation, Staff did not return all of resident's medication at discharge. LPA conducted a file review of Resident#1 medication release LPA observed a list of medication pertaining to Resident #1 in addition, LPA observed a date along with a signature from Resident#1 authorized representative acknowledging the release/return of Resident#1 medication. Based on corroborating evidence obtained during the course of the investigation, LPA has determined that the above allegations are Unsubstantiated. Unsubstantiated; meaning 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 this report (LIC 9099) was discussed, and a copy was provided to Facility Administrator Julie Dion