Incident investigation·July 30, 2025

On 07/30/2025 at 12:00PM Licensing Program Analyst (LPA) P.Manalo conducted an unannounced Case Management visit regarding a self-reported incident. Health Services Director self-reported the incident on 07/07/2025. LPA met with Care Director, Maryrose Vinarao, and explained the purpose of the visit. LPA received a self-reported incident report from facility that indicated Resident 1 (R1) had an unwitnessed fall and after visit summary indicated that the resident had a wrist fracture. During the visit, LPA reviewed R1's Individualized Service Plan, Medication List, Transfer/Discharge Report and Order Summary Report from previous skilled nursing facility, and After Visit Summary dated 07/06/2025. A review of resident's Individualized Service Plan dated 06/22/2025 and Order Summary Report from previous skilled nursing facility revealed that the resident has a diagnosis of bone density and structure. No deficiencies cited during visit. Exit interview was conducted with Care Director and a copy of this report was provided.