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32 | Staff called 911 immediately while applying pressure to the wound. R1 was diagnosed with a laceration on their head that was cleaned and sutured as well as hematomas on their hips. R1 was discharged back to the facility the same day of this incident at 6:15a.m. as no further head injuries were assessed at the hospital. LPA received a copy of the resident's discharge summary from the hospital on 05/25/2023, due to a fall causing head trauma and a laceration of the scalp requiring scalp sutures. Medical tests conducted were CT of the brain, CT of the cervical spine, ECG, X-Ray of the chest, and X-Ray of the left forearm. The reporting party/complainant corroborated this version of events during an interview with the Licensing Agency on 06/12/2023, and stated R1 needed stitches on their head and sustained multiple bruises on their hips.
Based on the information obtained, there was insufficient evidence that due to neglect, resident sustained an injury while in care. Therefore, the allegation is deemed Unsubstantiated at this time.
On the allegation: Staff did not seek timely medical treatment for resident. It is alleged that Resident #1 (R1) had an ingrown toenail on their left toe and that the injury was ignored for two (2) weeks with no treatment being requested for R1. The allegation states that two (2) weeks later R1 sustained a bad infection on their left toe and R1 was seen by an attending physician who cut R1’s toenail and prescribed antibiotics.
LPA received signed and dated documentation beginning in December 2022 of a Professional Medical Services Agreement between the facility and a board-certified medical Doctor licensed in the State to provide wound care services to the residents of the facility. This Doctor exclusively provides wound care services referred to by the residents’ primary physicians and does not act in any other capacity. LPA received Physicians Orders/Audits from the primary care physician of the resident dated from 04/28/2023-06/20/2023 on a consistent basis (every day to every other day/occasionally every 3 days). LPA received copies of Medical Services provided to the resident from 06/20/2023, regarding an ingrown toenail infection. There is no evidence through record review that R1 was ignored for two (2) weeks with no treatment on the ingrown toenail. Through interviews with Staff, LPA found no evidence that R1 was ignored for treatment on the ingrown toenail, and all Staff interviewed stated R1’s ingrown toenail was provided treatment appropriately. There is no evidence through either record review or interview any medical treatment needed by R1 was delayed or ignored.
Based on the information obtained, there was insufficient evidence that due to neglect, resident sustained an injury while in care. Therefore, the allegation is deemed Unsubstantiated at this time. Continued on 9099-C |