Follow-up·July 17, 2024

On 7/17/2024 at 10:15AM, Licensing Program Analyst (LPA) K. Nguyen arrived unannounced to conduct a case management visit. LPA met with Vice President of Clinical Services, Chris Gershtein and explained the reason for the visit. Executive Director Soledad Martinez was no available during the time of the visit. LPA received a UIR regrading a resident got admitted to SNIF due to wound care. LPA interview S1, review resident files including but not limited to admission agreement, physician report, updated appraisal needs, and care note including home health care notes. Resident is on a CCRC contract. Resident was in SNIF in 11/1/23 and graduated back to AL in 12/23/23. During that time when resident was in assisted living home health was assisting resident with wound care. During the time resident wound was at a stage between one and two. This resident has been back and forth with SNIF and RCFE multiple times. This resident has home health that assisting him during the whole duration of the time. LPA interview S1 indicate that this resident was refusing care because he very independent and doesn’t want help from anyone. That’s the reason why he back and forth between assisted and SNIF. According to S1 resident is doing better but is still in SNIF due to his care for wound. Resident wants to be back to assisted living, but S1 indicated he did not pass his room safety check. That’s the routine that facility does for any resident want can be potential to graduate from SNIF. Resident is doing better and is still in SNIF. No deficiencies are being cited on this date. Exit interview conducted. A copy of this report provided via email.