complaint·April 20, 2021

R1 was in considerable pain and was prescribed pain medication; Hospice staff indicate R1's family was resistant to pain medication administration and it is not likely R1 was over medicated; records do not indicate inappropriate administration of pain medication. While R1 may have continued to decline while at the facility, this agency found no indication that staff neglected R1's incontinence care; medication administration; or pressure injury precautions and it appears R1's decline was not unusual for Hospice patient at end of life stage. Although the allegations may have happened or are valid, based upon the records obtained and reviewed, and the statements taken from witnesses and parties, there is not a preponderance of evidence to prove the allegations did, or did not, occur. Therefore, the allegations are UNSUBSTANTIATED.