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) Natasha Persaud conducted an unannounced Case Management visit. LPA was greeted by staff, Kit Quiba. LPA met with Director of Sales, Michelle Roselund and discussed the purpose of the visit.
On May 14, 2021, Community Care Licensing received a self reported incident regarding Resident #1 (R1). On May 5, 2021, R1 was found by facility staff on the floor in their room and sustained an injury. R1 was last observed at the end of breakfast at approximately 10:00am. Staff went to R1's room at approximately 10:45am to administer medications and found R1 on the floor. R1 was assisted up by staff off the floor. R1 didn't complain of any pain. Then on May 7, 2021, R1 complained of pain and was transported to the hospital by non emergency ambulance. Once R1 was discharged from the hospital, R1 went to a skilled nursing facility for recovery and did not return to the facility.
During today's visit, LPA briefly toured the facility, requested records and interviewed staff. No deficiencies were issued.
An exit interview was conducted with Director of Sales, Michelle Roselund and a copy of this report, along with Licensee/Appeal Rights (LIC 9058 01/16), were provided to the Director of Sales, Michelle Roselund via electronic mail. An electronic read receipt confirmation was requested to be sent by the Director of Sales, Michelle Roselund upon receipt of the documents. [See LIC 811 Confidential Names List to identify Resident #1] |