complaint·July 12, 2022

Regarding the allegation: “Staff did not change resident's bandages:” Record review indicated there is no doctor’s order for the resident to have bandages nor to have them changed. Staff interview revealed that R1 had come back from a medical visit with their legs wrapped and an order to keep the bandages on, however R1 removed the bandages themselves about an hour after returning to the facility. Resident Care Director has attempted to obtain an order for home health services to assist with R1’s bandages, however R1 refuses to see the primary care physician and therefore cannot obtain home health orders. While R1 has stated they need assistance with the bandages, there is no medical order to reflect this need. Based on record review and interview, although the allegation may be valid, at this time there is insufficient evidence to prove a violation did occur, therefore the allegation “staff did not change resident’s bandages” is deemed UNSUBSTANTIATED at this time. Regarding the allegation: “Staff did not seek medical attention for resident:” Staff interviews and resident interviews revealed that R1’s primary care physician released R1 from their care and subsequently R1 could not find an alternate primary care provider. R1 refused to see medical professionals that conduct visits on site at the facility. R1 chose an alternate provider, but the provider required R1 change specialists and pain medications, so R1 canceled services with the primary provider. R1’s family member does not help R1 find alternate medical care. Facility staff have attempted to assist R1 with scheduling appointments and locating adequate medical providers, however, R1 refused assistance and instead prefers to schedule themselves or to have their private caregiver make appointments. Staff interviews revealed that R1 chooses not to utilize facility transportation, but has a private caregiver take R1 to all medical appointments. Prior to the COVID-19 outbreak, R1 would leave the facility frequently and did receive medical attention regularly. Interview revealed that there was a time period when R1 did not have a private caregiver and facility staff indicated they assisted R1 in scheduling medical appointments and seeking medical attention as needed. Based on record review and interview, although the allegation may be valid, at this time there is insufficient evidence to prove a violation did occur, therefore the allegation “Facility staff did not assist resident with medications as prescribed” is deemed UNSUBSTANTIATED at this time. No citations issued. Exit interview conducted. A copy of this report was provided via email to Resident Care Director and Executive Director.