Complaint·August 17, 2023

R2 had just been taken back from the living room to her bedroom, by her son, who was visiting, and one of Summerfield's caregivers, at around 10:10 am. R2 was tired and asked to take a nap. The Summerfield caregiver and son laid her on her side in bed. Hansel came back to check on R2 at approximately 10:15 and the Home Health nurse arrived at 10:30 and that is when she tried to wake up R2 and said she is unresponsive. At 10:30am Home Health RN had just come to check up on R2 because she had a fall on 07/31/2023 and Home Health was ordered for follow up care. The nurse told Hansel who was in the hallway that R2 needed to be checked and she was unresponsive. 911 was immediately called and the medics arrived. When the Medics left her R2 was awake and responsive to the Paramedics. She was taken to St. Joseph's Hospital. Home Health RN and Hansel LVN from Summerfield attended to R2 immediately when they noticed a change of condition and they called 911. Allegation: Resident was left in soiled diaper for an extended amount of time. Based on interviews conducted, R1 spends every morning in the Activity Room doing her exercises. Dixen, the Activity Director, said she had left as soon as exercise was done. She does get tired and wants to lay down. R1 went to the first open room door she could find and laid down on one of the beds with the door still open. She had gone to Activities at 9:00am and then laid down around 9:50 right after she left Activities, she was woken up at 10:30. As a result of this investigation, this Department finds the allegations to be UNSUBSTANTIATED. A complaint allegation finding of Unsubstantiated means that although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred. Exit interview was conducted with Administrator