complaint·May 1, 2024

Allegation: Resident’s wound worsened due to staff neglect. Based on review of the medical records by the department the facility assisted R1 with the new and existing medical conditions. R1's medical history on examination from the ER detailed a variety of conditions all conditions had been or were being addressed by the facility. The ER did not suspect or address any concerns of neglect of lack of care resulting in the worsening of wounds or death. The ER summarized a complete body check with no signs of lower extremity edema. Based on the records reviewed and information obtained, R1 did not have medical need for wound care or was being treated for wounds of the lower extremities, this case has been investigated and is unfounded. Allegation: Staff did not respond to resident’s calls for assistance in a timely manner. Review of records and interviews with residents the facility is answering calls, the times vary in each situations and on the average the calls are being answered within 5 to 15 minutes after the call buttons are pushed. Residents interviewed confirmed that the staff make good efforts at trying to answer all calls timely. The facility has installed an updated call system in each residents room. The system notifies the front desk and alerts staff on their communication devices when the call buttons are pushed. by residents. Allegation: Staff did not ensure the facility was clean and sanitized. Based on observation on multiple visits on 1/24/2024, 2/15/2024, 2/21/2024 and 3/25/2024. The facility appears to be clean. However, photos taken by the reporting party show a blood stain on the bathroom wall of R1 and toilet paper on the ground. These photos are not complete stories of the cleanliness of the facility but they do show that the facility was not clean when the pictures were taken. This could have been immediately after a resident finished in the bathroom before a staff could get to it or it may have been there for sometime. The department is unable to determine if the photos of the two issues represent the facilities lack of cleanliness or sanitation. The department has investigated the allegations and determined them to be unsubstantiated. There is not a preponderance of evidence to conclude the allegations are factual, therefore, these allegations are UNSUBSTANTIATED.