Complaint·December 30, 2022

On December 30, 2022, Licensing Program Analyst (LPA) Komal Charitra conducted an unannounced complaint visit to the facility to deliver the findings for the above allegation. LPA met with Caregiver, Emely De La Cruz and explained the prupose of the visit. Regarding the allegation that staff neglected the care for resident resulting in resident sustaining a pressure 4 injury, according to the reporting party, Resident #1 (R1) was seen in the clinic at Mills Peninsula on 10/3/22 for a stage 4 pressure ulcer left heel and deep tissue right posterior ankle. In addition, the reporting party indicated that the R1 was receiving Home Health Services with Harmony Home Health. During the investigation, the Department reviewed R1’s medical records and interviewed R1’s responsible party and R1’s doctor. Based on the medical records reviewed, R1 did have a stage 4 pressure injury on his/her left heel, however during the time of the injury, the home health agency was responsible for R1’s pressure injury. According to R1’s responsible party, on 8/16/22, the facility notified him/her that R1 was starting to develop a pressure injury. The responsible party called the wound clinic and the doctor approved R1 to receive home health services from Harmony Home Health and for the home health nurse to follow the pressure injury. According to R1’s doctor, the facility was not responsible for caring for R1’s pressure injury and that there was no suspicion of neglect on behalf of the facility. Furthermore, according to the Licensee, the facility was in daily communication with R1's responsible party and his/her doctor. Based on the above information, the Department has found that this allegation to be UNFOUNDED, meaning that this allegation was false, could not have happened and/or is without a reasonable basis. Report is reviewed with Caregiver and a copy is provided.