Incident investigation·December 29, 2022

On December 29, 2022, Licensing Program Analyst (LPA) Sarena Keosavang arrived at the facility unannounced to conduct a Case Management visit. LPA met with Executive Director, Cliff Keene, and explained the purpose of the visit. LPA wore a surgical mask and were screened by facility staff prior to entering the facility. The purpose of the visit was to follow-up on an unusual incident/injury report that was sent to Community Care Licensing (CCL) on 11/13/2022. The report indicates resident's (R1) family transported R1 to the hospital to get evaluated due to having multiple falls without injuries and having increase confusion. R1's responsible party notified the facility R1 will be staying at the hospital. LPA requested for R1's Physician's Report, Reappraisal, Level of Care Assessment, and medical discharge documents, and fall prevention training. R1 returned to the community and is doing well. Exit interview conducted and report provided.