Complaint·November 30, 2023

While receiving wound care treatment, it was discovered that R1’s pressure ulcer would likely not heal without vascular intervention, however, R1 was too weak to undergo any vascular intervention. The clinic decided to treat the wound conservatively instead. Staff followed instructions from the wound care doctor and demonstrated their understanding to the home health nurses. Staff reported and documented that R1 had frequent visitors that removed R1’s wound dressings and the boots R1 was to continuously wear to off-load the wound. Despite staff telling R1’s visitors to not remove it, R1’s visitors did not listen. R1’s responsible party and home health nurses were aware of the situation with R1’s visitors. Facility staff were instructed to be firm with the visitors to not interfere with R1’s care. The Department has investigated the above allegation. Based on interview, record review and observation the above allegation is UNFOUNDED meaning the allegation is false, could not have happened, and/or is without a reasonable basis. No deficiencies were cited per California Code of Regulations, Title 22. This report was reviewed with Administrator, Dominica Oliva and a copy of the report was provided.