Complaint·May 30, 2025

It was alleged that the staff did not notice change of condition in R1. Progress notes stated R1 had stomach pain on 12/12/20, 12/14/20,12/21/20, and 01/02/21. On 01/03/21, R1 was walking and feeling good. R1 had pain on 01/05/21 and staff sent R1 to the emergency room. According to records reviews and interviews, there is not substantial evidence to support the allegation that staff did not notice a change of condition in R1, therefore the allegation is unsubstantiated. It was alleged that staff did not treat resident with dignity. According to records reviews and interviews, R1 left the facility on 01/05/21 and did not return. R1 was enrolled with a health group that covered a seven day absence from the facility. R1 was responsible to pay for facility rent on 01/12/21 and outside source chose to move R1 out of the facility on 01/11/21. Based on records reviews and interviews, there is not substantial evidence to support the allegation that R1 was not treated with dignity, therefore this allegation is unsubstantiated. It was also alleged that staff did not ensure resident went to doctor appointments. Records reviews and interviews indicated that R1 had doctor visits on 09/30/20, 10/15/20, 11/04/20, 11/20/20, and 12/16/20. Each of these appointments were facilitated by staff. An outside source tried to arrange an in-person appointment with R1 and two consulting doctors during Christmas week 2020. The doctors and facility had limited time, therefore the facility nurse and former executive director evaluated R1 on Christmas day. Staff noted R1 health on 01/05/21, spoke with outside source, and called 911. Based on interviews and record review , there is not substantial evidence to support the allegations that staff did not ensure resident went to doctor appointments, therefore this allegation is unsubstantiated. An exit interview was conducted with Tia Suuronen-Goodwin to whom a copy of this report and the Licensee/Appeal Rights (LIC 9058 03/22) were provided. Her signature on this form acknowledges receipt of these rights.