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25 | Licensing Program Analyst (LPA) Sabel Martinez conducted an unannounced Case Management visit. The LPA identified himself and disclosed the purpose of the visit to Executive Director Emily DeLaBarre.
On 12/09/2024, the Department received an incident report indicating Resident # 1 (R1) had sustained a fall that was not witnessed, on 12/05/2024. R1 initially declined having pain, but later reported pain and was transported to the hospital. R1 was discharged with not fractures. On 12/12/2024, R1 reported excruciating pain and was transported to the hospital and diagnosed with a pelvic fracture.
Review of records revealed R1 had a CT scan and several X-ray exams preformed during R1's hospital visit on 12/05/2024. These exams did not reveal any fractures and R1 was discharged back to the facility. Per interview with Executive Director DeLaBarre, R1 did not sustain any additional falls between 12/05/2024 and 12/12/2024. At this time,R1 is still at the hospital receiving treatment. Additional visits and review of additional pending records is necessary.
An exit interview was conducted with Executive Director DeLaBarre, to whom a copy of this report, and Licensee/Appeal Rights (LIC 9058), were provided via email. An email read receipt confirms the documents were received.
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