Incident investigation·September 19, 2023

09/19/2023 11:50 AM Licensing Program Analyst Rebecca Knight conducted an unannounced case management visit and met with Mariah Mitzel- Resident Services Director. Executive Directro Sonya Gonsalez was unavailable during the visit. Today’s visit is regarding an incident that occurred on 09/06/2023 and was reported to licensing on 09/12/2023. It was reported that on 09/06/2023 at 1:30 PM Staff checked on Resident 1 (R1) who was found standing naked and slurring their words. R1 stated they were in pain and had taken some medication “from a friend.” 911 was called and R1 was transported to the local emergency room for evaluation. R1’s family and physician were notified. R1 was admitted to hospital with a diagnosis of toxic metabolic encephalopathy. During the visit LPA interviewed 1 staff, toured resident room and requested the following documents: Physicians Report, Needs and Services Plan, MAR for 1 resident. Needs further investigation. No deficiencies were cited during today's visit. A copy of the report was provided to Mariah Mitzel - Resident Services Director.