Incident investigation·May 3, 2024

.On 05/03/2024 at 2:40PM, Licensing Program Analysts (LPAs) T. Syess-Gibson and L.Hall arrived unannounced to conduct a case management visit in regard to incident report received on 04/29/2024. LPAs met with Executive Director, Lydia Hertzler and informed him of the reason for the visit. Based on the incident report received on 04/29/2024, Resident 1 (R1) returned to the facility with a new diagnosis that the facility hadn't been made aware of previously. S1 stated when R1 returned the discharge summary documents indicated the diagnosis. Facility staff requested a new physician's report to indicate diagnosis. Facility staff had conference call with family regarding continuing care of R1. LPAs obtained the following documents: discharge summary notes from Kaiser hospital, physician report dated 6/14/2022 ,pre placement appraisal, and face sheet for R1. No deficiencies are being cited on this date. Exit interview conducted. A copy of this report provided.