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25 | On 12-13-22 at 1:45pm, Licensing Program Analyst (LPA) Michael Bilger arrived unannounced to conduct a case management visit regarding reporting requirements. LPA spoke with Administrator Marlene Bremer via phone and explained the purpose of the visit. Administrator gave permission for culinary director (S8) to sign in her absence. LPA conducted interviews with Administrator and reviewed facility file documentation. During a complaint investigation regarding complaint # 27-AS-20221123084042 it was determined that resident1 (R1) was sent to the hospital on 11-23-22 due to concerns of blood in the urine. Based on facility file documentation reviews and department file reviews, it was revealed that facility did not submit an incident report to the department indicating the hospitalization of R1 on 11-23-22, or communication to responsible person and physician of R1.
As a result of today’s case management, citation issued under Title 22, Division 6, Chapter 8. An exit interview was conducted with Marlene Bremer and a copy of this report was left with Marlene. Appeal rights provided.
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