complaint·May 4, 2023

In review of R1's physician report, it was determined that R1 has a history of skin conditions. in interview with R1's responsible parties (W1 & W2), W1 & W2 indicated that R1's skin condition has lasted for over 10 years, and had determined that it was likely due to allergies. R1's needs and services plan indicated that the facility assessed R1 for signs of skin breakdown daily. Review of R1's doctor's orders indicated that R1 visited the hospital for a check in on 03/10/2023. Doctor's order from 03/15/2023 indicates that a dermatologist reviewed photos of R1's rash, and diagnoses R1's skin condition as dermatitis, with differential diagnoses of drug reaction or scabies. Doctor's order does not call for scraping to determine scabies condition. Doctor's order indicated that the facility should continue using topical steroid, use anti-itch cream, keep skin moisturized, and return for evaluation if condition remains unimproved after 1 month. File review and interviews conducted determined that the facility was adhering to 03/15/2023 doctor's order appropriately. R1 was taken to the hospital due to fainting on 04/05/2023. R1 was at the hospital for 3 days before being transferred to a second hospital. Upon transfer to the second hospital, R1 was diagnosed with scabies. W1, W2, and facility staff stated that R1 exhibited no signs of worsening skin condition between the dates of 03/10/2023 and 04/05/2023. W1 & W2 stated that while R1 was at the first hospital, there was no indication from the hospital staff that R1 had scabies, and R1 was not placed under quarantine. As of the writing of this report, no other staff or residents have been diagnosed with scabies. This Department has investigated the above allegation. Based on observation, interviews and records review, the Department has determined that the allegation is UNSUBSTANTIATED, meaning that although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur. This report was reviewed with Administrator Irish Ladwig and a signed copy of the report was provided.