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), Steve Nguyen conducted an unannounced tele-visit Case Management with Administrator(AD) Li Li . The incident that initiated the visit was self reported by the facility in an LIC624 Unusual Incident Report on 05/27/2021. The incident occurred on 05/21/2021 and involved a staff reported witnessing staff hitting a resident. The reporting staff reported the incident to the facility on 5/24/2021. Per AD:
On 5/24/2021, Charge Nurse gave a physical examination to R1 and there was
no apparent injury, bruise, laceration, redness, or cuts found.
On 5/24/2021, facility contacted R1's daughter and updated her on R1's status.
Suspected Abuser was immediately suspended pending facility's internal investigation.
An in-service was given to staff members in the Memory Care Unit for Elder Abuse and Proper Reporting Time, and How to Give Care to Residents with Dementia.
At approximately 4:18 PM, LPA conducted an interview with R1; however, R1 was limited to yes or no response. R1 does not remember incident. LPA asked and received R1's permission to inspect head. Inspection revealed no apparent injury.
LPA requested the following documents to be sent to Department by 5/28/2021: Physician's Orders, Needs and Services Plan, and Plan of Correction.
No deficiencies were cited at this time. This report was reviewed with Li Li. A copy of this report will be sent to her for her to sign and return to Department |