Aegis Living Fremont

Reginald P

July 7, 2023

My father entered Aegis in October 2022 and asked to leave in April 2023. When I brought him there, he was able to walk and eat. He needed assistants bathing, going to the bathroom, and dressing. In December 2022, a med tech administered another patient's medication, seven tablets, resulting in my dad going to the ER for observation. Three days later, he had an undocumented fall at Aegis, resulting in a fractured Sacrum. No notification that his condition changed from mobile to a wheelchair. Two weeks later, after being treated by his doctor for pain he went to ER after having an MRI on his back, and they confirmed the fracture and soft tissue swelling on the back of his head confirmed he had a fall. The hospital also found that he had a bad UTI, requiring him to stay ten days. Upon release, he got admitted to SNF for rehab for walking. He spent 45 days at the SNF. Went back to Aegis with instructions on the care of his Sacrum fracture and the application of a Lidocaine patch for pain management. Within one month at Aegis, he started to develop an ulcer. The home care nurse was treating him for the ulcer, and Aegis was to change his dressing between the home care visits. This is where issues arose. The care of his wound resulted in the ulcer getting more prominent versus healing. The staff would allow the dressing to get soiled or remove the dressing without replacing it with a clean dressing. This made the would get worst. This resulted in Aegis discharging my father on a Friday at 4 pm with no advance notice. I visited my dad daily while at Aegis at lunchtime to feed him and see the workings of the staff. I would observe one to two staff setting up lunch for 15 residents and rushing to get everyone their food, and sometimes missing a resident. They say they have six caregivers in each of the two wings dedicated to their memory care, but that is sometimes not the case, or they bring in temps. The caregivers were attentive to the residents, but communication between the caregivers and the medical staff in the care of my dad could be improved. I feel this was the leading cause of his issues. Even though I was on top of his care, there would be one or two that never got the work on a procedure or just ignored the instruction for the patients. He is now at an SNF, and the bed sore went from 8 cm long to 1 cm within two months. The people are very caring and care for the residents, but their main problem was follow-up with doctors' orders and communication among the staff.