Staff denied neglecting R1’s care. Other residents residing at the facility were satisfied with the care provided at the facility. During the interviews with medical professionals, R1’s PCP stated that he did not observe any signs that the facility neglected R1’s care and nothing in R1’s hospitalization suggested facility wrongdoing. According to the doctor, R1’s chronic medical conditions were significant risk factors that contributed to the development of osteomyelitis. Per R1’s doctor, R1 was essentially predisposed to this disease due to other underlining conditions.

A review of facility and hospital records conducted on 12/02/25 and 12/11/25, indicate that on 10/21/2025, R1 was noted to be failing to thrive, and the facility transferred R1 to the local hospital for evaluation. At that time, there was no indication, nor diagnosis of osteomyelitis. On 11/07/2025, staff observed an injury to R1’s foot, and R1 was again transferred to the local hospital for further assessment. Hospital documentation from that visit indicated that R1 had developed osteomyelitis.

Staff denied neglecting R1’s care. Other residents residing at the facility were satisfied with the care provided at the facility. During the interviews with medical professionals, R1’s PCP stated that he did not observe any signs that the facility neglected R1’s care and nothing in R1’s hospitalization suggested facility wrongdoing. According to the doctor, R1’s chronic medical conditions were significant risk factors that contributed to the development of osteomyelitis. Per R1’s doctor, R1 was essentially predisposed to this disease due to other underlining conditions.

Based on interviews, and record review, there is insufficient evidence to support that the facility failed to provide appropriate care or supervision. Therefore, the allegation of neglect, lack of care, and insufficient supervision is unsubstantiated.

Exit interview conducted and a copy of report was proved to the Administrator.