This complaint alleged that R1 sustained unexplained bruises to arms and legs while in care. S1 indicates that S1 received notice from staff that R1 had an unexplained bruise to R1 right arm. S1 indicates that R1 had existing conditions that contributed to bruises to arms and legs. Records indicate: Reviewed Narrative Charting (date 08/06/2024 to 09/11/2024) for R1. 9/3/2024 R1 family requested information on purple toe. 9/5/2024 staff noticed bruises on R1 legs, staff offered to call 911 and R1 family refused. 7 out of 7 staff indicate no unexplained injuries to R1 or other residents. 6 out of 7 residents indicate no unexplained injuries reported.

Regarding Allegation #2: Staff did not seek medical attention for a resident in care.

This complaint alleged that staff did not take R1 to the hospital for unexplained injuries. S1 indicates that the facility could not take care of R1 needs. S1 indicates that S1 had many conversations with R1 family regarding medical attention. R1 health was changing and S1 had a conversation with R1 family and that a review would be needed. 7 out of 7 staff indicate that R1 did not seek medical attention. 7 out of 7 staff indicate that R1 family refused 911 to be called. 6 out of 7 residents indicate that staff does take residents to the hospital if needed.

Regarding Allegation #3: Staff not ensuring residents room is kept clean.

This complaint alleged that staff did not keep R1 room clean. Reviewed housekeeping schedule, 3 staff clean residents’ room 7 days a week. 3 staff work 4 days per week with overlapping days and there are no gaps in service. S1 indicates that R1 room is cleaned weekly, and that all residents room are cleaned weekly. 7 out of 7 staff indicate that the resident’s room are cleaned weekly, and trash is picked up daily. 7 out of 7 staff indicate that no resident has complained regarding housekeeping services. 6 out of 7 residents indicate that staff clean their rooms weekly and 6 out of 7 residents are happy with housekeeping services.

This complaint alleged that staff did not inform R1 family of changing condition for R1. Reviewed narrative charting (date 08/06/2024 to 09/11/2024), 09/03/2024 R1 family was visiting and questioned why R1 toe was purple. 09/05/2024 R1 family wanted staff to look at residents’ toes, staff looked at R1 legs and noted bruises on R1 legs. Staff offered to call 911 and R1 family refused the 911 call. Reviewed the physician report (date 03/28/2024), R1 has health issues. S1 indicates that S1 had many conversations with R1 family and S1 indicates that R1 family was kept informed of R1 medical status. 7 out of 7 staff indicate that staff does keep R1 family informed of R1 medical status. 6 out of 7 residents indicate that they have not been injured while living at the facility and 6 out of 7 residents indicate that staff keeps their family informed of any medical changes.

Based on interviews and supporting documentation, the preponderance of evidence standard has NOT been met therefore, the allegation of “resident sustained injuries while in care” “staff did not seek medical attention for a resident in care” “staff not ensuring residents room is kept clean” “facility did not notify residents responsible party of an incident” is found to be UNSUBSTANTIATED.

No deficiencies cited during today's visit.

An exit interview was conducted, and a copy of the Complaint Report were provided to the Administrator Brittany Kavanaugh (S1).