Follow-up·January 8, 2025

01/08/2024 10:00 AM Licensing Program Analyst Rebecca Knight conducted an unannounced case management visit and met with administrator Stacey Baxter. Today’s visit is regarding incident reports that have been submitted by the facility regarding several falls that recently occurred at the facility specifically involving residents who are on hospice The purpose of the visit was for LPA to have a discussion and provide resources. Administrator stated hospice residents are being re-evaluated for change of condition and suitability for hospice placement. In order to prevent this from occurring the facility will conduct a fall prevention training with all staff. Facility will update fall prevention plan to include staff rounds every 30 minutes (will be documented) and administrator will conduct hourly rounds to ensure that residents are monitored for safety. Administrator will submit a copy of the facility’s updated fall prevention plan to LPA. LPA referred administrator to ​​​​​​​​​Stop Falls Sacramento Coalition for additional resources in fall prevention. https://dhs.saccounty.gov/PUB/StopFallsSacramento/Pages/Stop-Falls-Sacramento-Coalition.aspx No deficiencies were issued as a result of today’s visit. A copy of the report was provided to administrator Stacey Baxter.