Complaint·April 28, 2023

The outside source was told by facility staff that they had ordered R1’s ostomy supplies but there was a delay with the supplier. R1 was transported to the hospital and is still there at the time of this reporting. It was reported that R1’s diagnosed depression increased as a result of the surgical implant of the ostomy. An outside source reported that R1 is at the hospital under evaluation for depression and possible Urinary Tract Infection (UTI). The outside source said the care and supervision provided by facility staff has been satisfactory and they have no problems with R1 returning to the facility after their hospital stay. Interviews with three other residents revealed no complaints related to care and supervision at the facility. A review of facility and R1’s records contained evidence that the facility did in fact order R1’s ostomy supplies in March 2023 with notes showing several follow up calls made to the supplier due to delayed deliveries. Record reviews also show that facility staff has ordered R1’s ostomy supplies since R1 was first given the appliance in November 2022. Interviews and records indicate that R1’s ostomy pouches were delivered to the facility on April 24, 2023, after R1 was transported to the hospital. When asked, facility staff said zip lock bags were only used for three days and would not have been used if R1’s supplies were received on time. The Department has investigated the allegation that due to neglect the facility did not have a resident’s medical supplies. Based upon interviews and record reviews, there is insufficient evidence to support the allegation. Therefore, the Preponderance of Evidence standard was not met, and the finding is Unsubstantiated. An exit interview was conducted with Administrator Panao and a copy of this report, along with Licensee/Appeal Rights (LIC9058 03/22), were provided.