Complaint·July 17, 2025

(continued from LIC9099) Regarding the allegations "Facility staff did not assist resident with hygiene as needed" and "Facility maintained a resident beyond their level of care": R1 has a healing wound which is not related to a pressure injury. Due to the type of wound, it can result in tissue breakdown which may cause a release of volatile compounds sometimes creating a strong odor. The facility staff followed physicians' orders to keep the wound covered, however the smell was sometimes offensive. Residential Care Facilities can keep residents who have healing wounds not caused by pressure. R1 was receiving home health services for the wound care. In addition, R1 was on a shower schedule of two days per week. R1 would occasionally refuse assistance with showers which is noted in the facility's records. Based on this information, these allegations are deemed UNSUBSTANTIATED at this time. Regarding the allegation "Facility staff did not assist resident with medical care as needed": The Clinical Director was working with R1's representative to get R1 to a physician to further address the care needed for the wound on R1's head. R1's primary physician referred R1 to a dermatologist. The dermatologist told R1 and their representative they could not treat the wound and R1 would need to see a plastic surgeon. The dermatologist did address other skin concerns and R1 visited the dermatologist four times over a four month period. During that time, R1's representative and the Clinical Director made attempts to find a plastic surgeon that would accept R1's insurance. On 5/9/2025, R1 was sent to a local hospital and then to a skilled nursing facility (SNF). When visiting with R1 on 7/10/2025, the wound was completely covered but there was still some odor. R1 stated they were unhappy staying at the SNF and they preferred the care they received at the facility. R1 felt their medical needs were addressed by the facility staff and did not have any complaints. Based on these observations and interviews, this allegation is deemed UNSUBSTANTIATED at this time. No deficiencies cited. Exit interview conducted and report issued.