Complaint·October 26, 2021

Licensing Program Analyst Leibert arrived unannounced for the purpose of delivering findings on the above captioned complaint allegation. LPA met with Ami Kumar and discussed the findings. It has been alleged that facility staff have not met the care needs of R1 in that R1 declined while in placement due to staff neglect. During the course of this investigation statements were taken from staff and witnesses; documents and medical records were obtained and reviewed; three site visits were made to the facility and one collateral visit to another facility. Based upon this investigation, the following determinations have been made: R1 is 95 with a history of recurrent illness; R1 did deteriorate while in placement at the facility; Records show that staff responded to R1's symptoms and did seek medical attention when necessary as well as making the required reports; Family reports R1's skin appeared well care for despite being bedridden; R1's condition worsened on April 24, 2021 but was not sent out until April 26, 2021; The available evidence suggests that the delay resulted from advice from hospital nurse who recommended allowing time to see if R1 would respond to a new course of medication. While the allegation may be true, based upon statements and records, there is not a preponderance of evidence to prove allegation did or, did not occur. Therefore, it is UNSUBSTANTIATED.