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32 | It was reported on 09/26/2020 R1 was sent to the hospital as result of COVID-19 symptoms. R1 was subsequently discharged back the following day on 09/27/2020. It was alleged that facility staff did not have or was missing R1’s discharge paperwork. Staff interviewed reported that they did not immediately receive discharge record upon R1’s return. Staff reported that R1 returned to the facility late in the evening on 09/27/2020 and hospital faxed the discharge record later in the day on 09/28/2020 with the new medication order. R1 medication was filled on 09/28/2020 and received on 09/29/2020. No other information provided specific to this allegation. It is unknown what other medical paperwork was mismanaged.
Allegation 2) Facility staff mismanaged resident's medications – This allegation was discussed with reporting party (RP) and it was stated that RP was not aware if either the hospital or the facility was responsible for R1 missing medication (medication name unknown) for two (2) days. No other information provided. Medication missed would be for 09/26/2020 and 09/27/2020 when R1 was in the hospital. RP did not confirm medication name.
Allegation 3) Facility staff gave resident's family member wrong information concerning resident's condition– Information was provided that facility staff did not inform the R1’s family exact date of when R1’s roommate was sick and did not promptly separate the resident from the roommate until after the roommate started coughing. According to records review both residents received positive results around the same time (09/27/2020). Records reviewed revealed that facility first COVID case reported in 9/2020, at which time the facility was in daily communication with Community Care Licensing (CCL) and Ventura County Public Health (VCPH). Per records reviewed, facility was following all guidelines and safety protocols given by public health during the outbreak.
Allegation 4) Facility staff failed to seek resident timely medical attention – Information was received that staff reported R1 was doing well on 10/02/2020. However, on 10/05/2020 it was reported that R1 was observed not doing well and staff was not allowed to call 911. Staff interviewed reported they have never denied any staff to call 911 in any medical emergency. Staff reported that 911 is usually called when residents experiencing a medical emergency like shortness of breath, consistent low oxygen level, chest pain, falls with serious injuries, unresponsive etc. Records reviewed revealed that R1’s oxygen level was record on 10/05/2020 to be 90 and temperature was 97.5. However, due to R1’s shallow breathing R1 was sent to the hospital at approximately 6:55pm on 10/05/2020. No other information provided/available.
continue to LIC9099C. |