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25 | On 3-27-24, Licensing Program Analyst (LPA) Kesha Lewis arrived unannounced to conduct a case management visit regarding incidents which occurred on 3-18-24. LPA met with staff and licensee and explained the purpose of the visit. LPA reviewed incident reports dated 3-19-24 and facility file documentation for resident (R1). LPA also conducted health and safety facility tour as part of this case management. Additionally, LPA interviewed licensee Esther Gapasin.
On 3-19-24, facility reported that on 3-18-24, R1 was found about 6:00 AM sitting on the floor of his room when staff went to wake R1 and give them a shower. When attempting to remove R1's clothing for the shower it was observed that R1 could not lift their arm. Staff then called licensee and informed her and she then took R1 to the emergency room arriving around 9:00 AM. It was found that R1 has a fractured arm. R1 has a current 602 (Physicians Report) and IPP, interviews of S1-S2 were contestant.
LPA conducted facility tour staff. LPA observed facility common areas, various resident rooms, kitchen area and hallways. Facility was observed by LPA to be clean and sanitary. Floors and walls were clean without prominent stains. Facility was observed to contain no foul odors. Food supply was adequate with 7 days of non-perishables and 2 days of perishable items in place. Staffing levels included 2 direct care and the administrator. Fire extinguisher was full charged and dated 07-20-23. Room temperature was 72*F. Smoke alarms and carbon detectors are functioning properly. Current census is 5. No obstructions to fire exits noted during today's tour.
This case management may need further investigation.
An exit interview was conducted with Esther Gapasin and a copy of this report was given.
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