complaint·May 16, 2024

In addition, based upon R1's physician's report, there are no indications of R1 requiring continuous bed care or repositioning to prevent wounds based on level of care at the time of wound observations. Due to inconsistent and contradicting information gathered, the allegation is found to be unsubstantiated. Complaint alleges facility violated the personal rights of resident, R1 due to inappropriate request for hospice placement. Based upon interview with Administrator and outside parties, it was found that inconsistencies of communication between Administrator and outside parties (I3), convoluted determining the diagnosis stage of R1's wound and whether the wound was considered a prohibited health condition; stage 3 or higher. Due to inconsistent information gathered, the allegation is found to be unsubstantiated. A finding that the complaint allegations, neglect/lack of supervision resulting in pressure injury and personal rights are unsubstantiated meaning that although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are UNSUBSTANTIATED.