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25 | Licensing Program Analyst (LPA) Cuadra conducted an unannounced case management and met with Crisante Cardenas Administrator. The purpose of this case management inspection is to follow up on a self reported incident submitted to Community Care Licensing (CCL) on 7/18/2022.
CCL received an incident report on 7/18/2022. Per incident report, on 7/11/22 at around 7:30am staff noticed that resident (R1) was not in their baseline, weaker than normal, dizzy and confused. Staff immediately called 911 and R1 was transported to Santa Rosa Kaiser Hospital. R1 came back home discharged from the hospital on 7/14/22. Discharge documents were also submitted along with incident report indicating a referral for home health for wound care due to a community-acquired right heel pressure ulcer Stage 2.
During today's visit, LPA reviewed records, made observations, interviewed staff and was provided with a podiatry follow up evaluation performed on 7/22/22 were R1 was assessed with DM2 peripheral neuropathy, healed lateral right heel ulcerations and Stage 1 ulceration right lateral malleolus. Per records review, there is an agreement signed by National home health agency to provide wound care for restricted health condition. Home health nurse is overseeing wound care for R1 three times per week in average. LPA also obtained R1's care plan dated 2/18/22 and medical assessment dated 2/11/22 indicating that R1 has a history of skin conditions. LPA will review documentation obtained and evaluate if further documentation is needed.
LPA provided Administrator with regulation 87612 and 87631 for reference on healing wounds and who can treat them. Administrator agreed to review regulation to ensure compliance with Title 22 regulations.
No deficiencies cited at today's visit. Exit interview conducted with Administrator and copy of this report was provided. |