complaint·January 26, 2024

R1 had a surgery procedure of Prostate Transurethral Vaporization and returned to the facility with orders to proceed as normal, on 12/21/2022 R1 had surgery follow up visit, no issues reported. On 01/22/2023 R1 had a mobile dental hygiene visit. On 01/31/2023, R1 had an appointment with Urologist Dr. Perkins, who documented, “symptoms of decline” related to R1’s surgery on 12/19/2023. Interviews on 03/06/2023 of Staff 1 and 3 (S1, S3) indicated that R1 had maintained a baseline upon returning from surgery in January and never improved and declined gradually, despite being on antibiotics. S3 stated that R1 gradually declined and was taken to the Emergency Room (ER) on 02/09/2023 where R1 was diagnosed with a bladder urinary tract infection (UTI) then cleared by the ER to return to the facility. On 02/18/2023, S3 noticed increasing symptoms and took R1 to the ER, where R1 was admitted to the Hospital for observations. On 03/19/2023, R1 was placed on Hospice Care through Central Coast Hospice. On 03/31/2023, R1 succumbed to their illness and passed away on 03/31/2023. Additionally, facility documentation included daily temperature checks, medication checks, and sunscreen checks from January 2021 through February of 2023 excluding days spent in hospitalization. LPA noted that the decline in R1 due to of complications from the bladder infection based on documentation, medical assessments and staff interviews indicated a gradual decline in R1’s baseline ADL’s. Documentation, medical appointments, and Emergency Room visits show evidence of staff seeking medical attention in a timely manner due to the nature of the decline of R1. Additionally, LPA Jeffries contacted Tri Counties Regional Center and no significant findings in R1’s care at this facility from TCRC. . At this time there is not enough evidence to support the allegation of, “Facility staff did not seek medical attention in a timely manner for resident in care.” and is unsubstantiated at this time. Exit interview, report read, and report provided.