1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25 | Licensing Program Analyst (LPA) Sabrina Calzada arrived unannounced to conduct a case management inspection related to several incident reports submitted to the Department recently. LPA met with Business Office Director who contacted the Administrator and Health and Services Director (HSD) by phone. LPA met with HSD in person and the Administrator by phone.
LPA discussed incident reports as follows:
Resident (R1) had an unwitnesed fall on 7/11/23 and received first aid by ambulance crew for the skin tear sustained. Resident's family member refused additional medical treatment. Resident was previously admitted to hospice and due to change in medications had been declining rapidly. Resident passed on 7/16/23 and an LIC624A was submitted to the Department on 7/17/23. Hospice was notified of the fall.
Resident R2 became very agitated on 7/11/23 (8:00 pm) and was physically aggressive with a caregiver so was sent out to the ER. Resident returned the same day without any new orders or a diagnosis; however, a UTI was ruled out. Resident's PCP was faxed requesting a home visit. Resident showed aggression again with staff on 7/23/23 and was sent to ER, returning the same day, with an order change for PRN medication. Labs were completed in the hospital. Resident was seen by the PCP the next day and lab results were evaluated. Resident was given a new scheduled and PRN medication to start on 7/25/23. Resident has not had any subsequent incidents. The facility will continue to monitor R2's behavior with the new medication changes. LPA was unable to speak to resident due to resident sleeping at the time of the inspection.
There are no deficiencies issued on this report.
Exit interview. Copy of report provided to HSD. |