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25 | Licensing Program Analyst (LPA) Cuadra arrived unannounced to conduct a case management inspection a regarding two incidents along with SOC341s submitted to Community Care Licensing and met with Lead Staff Diandra Chadwick.
Per incident report dated 01/17/23. On 01/13/23 while staff was passing medications overheard yelling and observed resident (R1) and resident (R2) fall to the floor holding on to a brown hat both yelling "it's mine". Staff intervene to separate both residents, assessed them for injuries. R2 did not report any pain and no injuries were observed. However, R1 complained of head and hip pain. Facility staff called 911 to transport R1 for further evaluation. During today's visit, LPA was provided a copy of hospital discharge documents dated 1/13/23 indicating that R1 was evaluated for treatment after a fall and hip pain, no new medications were prescribed and follow up was not needed. LPA conducted interviews with staff who informed LPA that they have taken the following preventive measures to avoid this type of incidents from happening again. R1 and R2 are not roommates anymore, their care plan was not been updated because according to lead staff it was an isolated incident and no further incidents have occurred between both residents. Per second incident report dated 01/19/23. On 1/17/23 lead staff received a phone call from R3's responsible party reporting that they received a call from R3 stating that R4 had swung their purse on them, striking R3's head and shoulder after having an argument. Upon receiving the call, lead staff assessed both residents for injuries, had a conversation about how they should treat each other with respect and dignity. R3 reported that their head was a bit sore and no bumps were noted by staff. After the incident, facility staff took the following preventive measures including a personal call button pendant to alert staff if there are further attempts of aggression from R4 and advised R3 that they have the right to contact the police as well if they feel threatened. R4's responsible party was also notified as well as proper agencies including CCL. R4 was relocated to a double room and a doctor's appointment was scheduled on 1/20/23 were exhibited behaviors were evaluated and a medication changes were prescribed. Per records review, On 1/25/23, R4 experienced small behaviors outbursts so the facility staff scheduled a new doctor's appointment with their primary Physician who prescribed additional medication and a follow up appointment for 2/21/23 has been scheduled. Also, R4's Psychiatrist conducted a visit on 1/26/23 to evaluate resident. The facility will update R4's care plan addressing changes. Exit interview conducted with lead staff and a copy of this report was given.
No deficiencies were cited during today's inspection. |