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25 | On 5-10-24 at 1:15pm, Licensing Program Analyst (LPA) Michael Bilger arrived unannounced to conduct a case management based on an incident which occurred on 4-16-24. LPA met with Administrator Marilyn Patacsil and explained the purpose of the visit. LPA also met with staff1 (S1). A brief interview was conducted with S1 who was present during this incident. LPA also reviewed incident report, individualized program plan (IPP) for resident1 (R1), nursing care notes for R1, and hospital discharge paperwork for R1, Based on incident report, file review, and interview, on 4-16-24, R1 was experiencing flu-like symptoms at approximately 6:00pm which included fluctuating body temperature, cold to touch skin, and shaking. At approximately 6:15pm, S1 contacted facility registered nurse (RN) to further assess. At approximately 6:40pm, RN arrived to assess R1. According to care notes, RN observed R1 to be experiencing shaking and pale skin. Care notes further state R1 was not experiencing shortness of breath or loss consciousness. According to incident report, R1 was not experiencing coughing. RN continued to monitor R1 for worsening symptoms. At approximately, 8:38pm, RN called 911 as symptoms were not improving and as a precaution. R1 was sent to hospital as a precaution at 8:46pm and returned to facility on 4-19-24 after additional follow up. No medication changes were noted for R1. R1's diagnosis included acute hypoxemic respiratory failure, cerebral palsy, and Pneumonia. Based on interview and record review, R1's symptoms were sudden onset, and was not experiencing above symptoms earlier in the day including during R1's attendance in day program. R1's primary physician was contacted after R1 was sent to the hospital.
As a result of today's case management, R1 was receiving medical attention during the onset of symptoms which included presence of RN assessment. No citations are issued today. An exit interview was conducted with Marilyn Patacsil and a copy of this report was provided to Marilyn. |