Complaint·October 15, 2021

On this day at 1400hrs, Licensing Program Analyst (LPA) Jaime Vado and Komal Charitra met with Ana Medorio, administrator, to conduct an unannounced complaint visit to deliver the finding regarding the above allegation. According to hospice records, on August 22, 2020, Resident 1 (R1) was admitted to hospice care. On December 1, 2020, hospice nurse noted that R1's left great toe wound was purple and dry, no drainage. Gauze was put in between the second toe, due to second toe being red. The second toe did not have an open wound. On December 8, 2020, R1's great left toe was noted as dark purple and unbleachable. On December 14, 2020, a facility staff member contacted the hospice agency to request to have R1 be checked on the next visit due to R1’s coccyx area was wrinkled, and the skin had been removed. On December 15, 2020, R1's great let toe wound re-opened and was black. The skin on the toe next to the black toe was noted to be opening. R1's coccyx area was also opened. On December 25, 2020, facility provided end of life care and R1 passed away on the same day. The cause of death was due to natural causes according according to death certificate. This agency has investigated the complaint alleging suspicious death. We have found that the complaint was unfounded, meaning that the allegation was false, could not have happened and/or is without a reasonable basis. We have therefore dismissed the complaint. Report was reviewed and discussed with the administrator.