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32 | It was alleged that Resident 1 (R1) (Please refer to LIC811 confidential names list), sustained a pressure injury due to staff neglect. R1 was admitted to the facility on 02/18/2022. On 04/17/2024 R1 was admitted on to hospice care. Review of R1's records showed that throughout R1's stay at the facility the staff communicated with the medical doctor when there were any changes of R1's condition. Outside source 1 (OS1) and outside source 2 (OS2) were interviewed and there were no concerns regarding R1's care throughout R1's stay at the facility. Outside source 3 (OS3) was interviewed and medical changes were communicated and addressed in a timely manner. Review of hospice documentation revealed medical staff and hospice staff closely monitored R1 medical changes including any skin issues. OS1 was interviewed and stated that all staff communicated well with OS1 regarding R1's daily condition and changes. Staff members including management staff were readily available to communicate with and there were no concerns regarding R1's care. Staff 1 (S1) was interviewed and reviewed R1's plan of care and medical records which showed continuous medical care by staff and hospice staff that addressed R1's changes in medical needs. Staff 2 (S2) was interviewed and reviewed schedules of staff and hospice staff visits for R1.
It was alleged that staff did not ensure that resident's room was clean. On 8/7/24 LPA Domingo toured the facility and a few rooms, there were observations of clean rooms. The rooms were not cluttered, the trash cans were empty, the floors were clean and there were no odors. On 8/16/24 LPA toured the facility and a few rooms, there were observations of clean rooms. The rooms were not cluttered, the trash cans were empty, the floors were clean and there were no odors. On 9/18/24 LPA toured the facility and observed the room to be clean. The rooms were not cluttered, the trash cans were empty, the floors were clean and there were no odors. OS1 and OS2 were interviewed and did not observed R1's room to be cluttered or odorous. OS1 and OS2 stated that the facility was well kept and had no concerns regarding the facility or R1's room cleanliness. Outside source 4 (OS4) was interviewed and there were no concerns regarding the facility's cleanliness. OS4 stated during visits to the facility the staff were always actively cleaning and disinfecting common and private areas.
Based on LPA's interviews with staff, outside source interviews, and record reviews there is not a preponderance of evidence to prove alleged violation(s) occurred, therefore the allegations are unsubstantiated. An exit interview was conducted with Robin Mendez, Director of Health Services, to whom a copy of this report, and the Licensee/Appeal Rights (LIC 9058 03/22) were provided. |