Complaint·April 22, 2025

Staff contacted advice nurse regarding their observations of the resident being sick and vomiting, not able to eat. Advice nurse directed them to send resident out to the hospital by 911 to be seen by medical professional. R1 was admitted into the hospital for fecal impaction. R1 was noted in medical records to have a stage II pressure injury in progress notes documented from 2/12 through 2/14, 2025. There is no exact time and date of when R1 obtained the pressure injury per review of medical records and interviews. Staff deny resident had a pressure injury while in care at the facility. Wound care referral was made by the Doctor for R1, per discharge paperwork of 2/14/25. R1 was discharged back to the care facility. R1 had in-home-health wound care a few times a week; R1’s would has healed and R1’s last day of wound care was 3/25/25, per records. Per review of records, including care plans and staff interviews, R1 has a bathing schedule, twice a week and as often as needed. Per interviews with staff, and other related parties, it was revealed that resident R1 is said to be receiving bathing as needed and incontinent needs are being met. LPA observed R1 to be clean, and facility to be free from urine/feces/foul odors, including R1's room on both inspection dates of 2/18 and 4/22, 2025. There was no information obtained and/or observed by the LPA to support violations occurred regarding “facility staff are not assisting resident with daily bathing, and facility staff did not seek timely medical attention for the resident”. Based on the interviews, record/document reviews, and related information obtained during the investigation, the allegations are Unsubstantiated, meaning that although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur. No deficiencies cited. Exit interview was conducted with the Lead Staff Lorena Lutynski. Report LIC9099 was left to Lorena Lutynski for the Administrator Arthur Alcones.