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25 | Licensing Program Analyst (LPA) Kimberly Lyman conducted an unannounced visit for the purpose of conducting a case management visit to follow up on incident reports received by Community Care Licensing on 12/02/2022 and 12/19/2022. LPA was greeted and granted entry into the facility by Director of Healthcare Services Cara Deiro and explained the reason for the visit.
Incident report dated 12/02/2022 indicated Resident 1(R1) had returned from a family visit in Arizona where the resident had sustained a fall. Upon return from the family visit, resident was discovered by staff on the floor after sliding out of the resident's recliner. Resident was sent out to the hospital to be assessed. R1 had no injuries but was diagnosed with Influenza. Facility is now providing assistance with showering and dressing. Resident is able to ambulate to the dining room for meals. Per physician report dated 07/27/2021, R1 is diagnosed with Mild Cognitive Impairment and is ambulatory. Resident is able to manage own medications. LPA attempted to speak with R1 but the resident is out of the facility for the holidays.
Incident report dated 12/19/2022 indicated R2 was observed by staff at the grocery store adjacent to the facility. Resident was redirected back to the facility by staff. The following day, R2 was observed leaving the community to go to the store again. Staff were unable to redirect the resident back into the facility and 911 was called. Sheriff responded and stated they would not return the resident to the facility as the resident was alert, oriented and had personal rights. Facility called resident's daughter who came to the facility and escorted the resident back. Physician report dated 10/02/2022 indicated R2 is diagnosed with Mild Cognitive Impairment and is unable to leave the facility unassisted. Facility obtained a change in orders dated 12/21/2022 from R2's physician indicated resident is now able to leave the facility unassisted. The reason for the change is due to improvement in the resident's clinical status. Resident had resided in a skilled for clinical reasons prior to living at the facility. LPA met with R2 during the visit. R2 appeared clean and well taken care of.
No deficiencies noted during today's visit. Exit interview conducted and a copy of this report was left at the facility. |