Incident investigation·December 6, 2023

On this day at around 3:05 pm, Licensing Program Analyst (LPA) Luisa Fontanilla conducted a case management visit in connection with an incident reported by the facility. LPA met with Executive Director Robert Roby and explained the purpose of the visit. During the visit, LPA obtained Resident 1 (R1) Physician's Reports, Needs and Services Plan and Hospital discharge papers . LPA reviewed records and interviewed Staff 2 (S2) and Resident 1 (R1). Based on R1's Physician's Report (PR) dated 9/22/2022, R1 is able to bathe/dress and feed self and is able to transfer to and from bed. Resident assessment dated 10/6/2022 indicates R1 ambulates independently with or without assistive device. S2 states R1 ambulates independently. In a previous interview conducted with Memory Care Director, Director states R1 ambulates independently. No deficiency was noted during the visit. A copy of this report was provided to Roby.