Complaint·September 15, 2022

It was alleged that Resident #1 (R1) developed a severe infection while in care. R1’s records were reviewed throughout the investigation. Record review revealed that R1’s care plan dated 12/01/2020 indicated R1 “does not require assistance with daily grooming, but staff will need to confirm (R1) is washing (R1’s) hands, face, and brushing (their) teeth. (R1) wears partial dentures that (they) need to soak at night and put on in AMs.” Care notes indicate that R1 was checked daily and had no concerns noted regarding hygiene. R1 was diagnosed with a tooth abscess while R1 was hospitalized for an unrelated event. R1 was then prescribed antibiotics for the infection and scheduled for a follow up appointment with the dentist a week later. R1’s antibiotics were administered daily at the facility, as prescribed. Interview revealed that R1 was very independent and was compliant with meeting hygiene needs. Although it is not necessary, interview revealed that most staff will stay with a resident to ensure they complete tasks, even if they are only on reminders to ensure resident needs are met. If a resident does not require assistance with brushing teeth, the staff would not have been observing that resident's teeth on a daily basis, especially during this time period, as residents were required to wear masks and socially distance. Based on interview and record review, although the allegation may be valid, at this time there is insufficient evidence to prove a violation did occur, therefore the allegation that “resident developed a severe infection while in care” is deemed UNSUBSTANTIATED at this time. No deficiencies were cited. Exit interview conducted with Jennifer Miller, Business Office Manager. A copy of the report was provided to the Administrator via email.