complaint·December 5, 2024

Continued from LIC9099... Interview with doctor overseeing R1s care revealed that due to R1s medical diagnosis and medical history they are unable to confirm that R1s death was a result of medication mismanagement. The medication that was not administered for nine days is prescribed to reduce the risk of blood clot; however, that risk does not completely go away by taking the medication. The death certificate was obtained and did not reveal evidence to support R1s death was a result of medication mismanagement. Although this allegation may be true, based upon the statements made, documents reviewed, as well as site visit observations, there is not a preponderance of evidence to prove the allegation is or, is not, true. Therefore, the allegation is UNSUBSTANTIATED . Exit interview conducted with Administrator, whose signature on form confirms receipt of documents. Continued from LIC9099A... A finding that the complaint is SUBSTANTIATED means that the allegation is valid because the preponderance of the evidence standard has been met. Deficiency cited per Title 22 Regulations, Division 6, (See LIC9099D). Exit interview conducted with Administrator, whose signature on form confirms receipt of documents. Appeal rights provided.