Complaint·July 31, 2025

Based on photos, facility wound care notes, home health wound care notes, and interviews conducted, R1 returned to the community on 3/7/25 with wounds on both heels. Home health wound nurse came into the facility for wound care 3x a week. On 4/11/25, R1 was admitted to hospice. Regarding the allegation, due to staff neglect, resident was dehydrated, according to the reporting party, R1 was admitted to the hospital on 2/19/25 for dehydration. During the investigation, LPA interviewed staff. According to staff interviewed, the facility was notified that R1 had a history of dehydration. Because the facility is not a skilled nursing facility, they don't log water intake, however since facility staff were aware of the history of dehydration, the facility staff ensured to monitor R1's water intake. Facility staff indicated that a water bottle was also purchased for R1 so that staff are aware how much water R1 is drinking a day. Based on interviews conducted, documents reviewed and information collected, the department has determined that although the above allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the above allegations are UNSUBSTANTIATED. Report is reviewed with the Director of Health Services and a copy is provided.