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25 | On 06/12/2024, Licensing Program Analyst (LPA) Cassie Yang arrived unannounced at the facility to conduct a case management visit regarding an incident report the Department received on 6/11/2024. LPA met with Interim Executive Director and Health Wellcare Director Nurse and explained the purpose of the visit.
According to the incident report received, it stated local law enforcement arrived to the facility on 6/10/2024 to conduct a welfare check on R1 due to a recent fall R1 sustained.
LPA, Executive Director and Health Wellcare Director Nurse discussed the following incident. LPA was informed by Health Wellcare Director Nurse that on 6/3/2024 R1 had a "guided fall" at approximately 2:40 AM. Health Wellcare Director Nurse informed LPA that in the middle of a transfer between Health Wellcare Director Nurse, S1 and R1, R1's legs became weak and needed to be placed on the floor temporarily to rest before Health Wellcare Director Nurse and S1 assisted R1 back to the commode. After R1 was placed back on the recliner, Health Wellcare Director Nurse provided first aid to R1 as R1's elbow was observed to have a skin tear.
When asked for the incident report of the incident, Health Wellcare Director Nurse informed LPA LIC624 was not created and submitted as R1 did not have a fall, it was a guided fall, and no injury was sustained, R1 was not sent to the hospital. LPA was provided a copy of internal incident report.
This incident is currently under review, No deficiencies cited today.
Exit interview conducted and a copy of the report was provided. |