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32 | at staff. R1 has a diagnosis which leads them to have aggressiveness and behavioral issues. R1 is also noted to bruise easily. LPA obtained a copy of the incident report, pertaining to this incident, which confirms the events of what happened on 11/02/25, while staff was attempting to give R1 a shower. LPA also reviewed R1's facility records, which confirms the diagnosis and confused behaviors.
In addition to facility staff interviews and record review, four (4) of four residents were interviewed, and they could not confirm the allegation. R1's family was also interviewed, and they deny the allegation of abuse. Family was very apologetic of the allegation, and doubts that staff caused the injury to R1. Furthermore, R1's family confirmed that they were made aware of this incident in a timely manner, and expressed no further complaints or concerns.
Based on the department’s observations, interviews and record review, which were conducted, there is insufficient evidence to prove that Staff caused injuries to a resident. Therefore the above allegation(s) is deemed Unsubstantiated at this time.
Regarding the allegation: Staff neglect resulted in a resident to sustain an infection, it was reported that R1 sustained an infection on their index finger. Interviews with the administrator and staff deny neglect. According to the administrator, R1 has a habit of digging into their fingernails, and when having a bowel movement, placing hands into private area an picking on their feces. Administrator and staff has tried many times to redirect, but R1 is non-compliant. R1's family is aware of this behavior, and they've also attempted to redirect R1. As a result of the continuous picking of the fingernails and their feces, R1 suffered an infection with puss coming out of their index finger. When infection was observed, Administrator immediately called R1's physician to address the infection. R1's family was also notified. Administrator had R1 transported to urgent care immediately for medical treatment. R1 was discharged same day, with no new orders, but to apply neosporin. Interview with R1's palliative care physician and treating doctor confirms that administrator consulted with them regarding R1's infection, and took the initiative to send R1 to urgent care for immediate medical attention. Review of facility incident report also confirms the incident.
Based on the department’s observations, interviews and record review, which were conducted, there is insufficient evidence to prove that Staff neglect resulted in a resident to sustain an infection. Therefore the above allegation(s) is deemed Unsubstantiated at this time. |