Incident investigation·December 14, 2023

On 12/14/2023 Licensing Program Analyst (LPA) K. Nguyen conducted an unannounced case management visit regarding a resident incident that occurred on 12/1/23. LPA spoke with Kuldip Singh, Health and Wellness Director and explained the purpose of the visit. LPA received an unusually incident report (UIR) regrading a resident had an un-witnessed fall during happy hours led to a fracture hip. Resident had hip surgery and is in a skill nursing for recovering. Kuldip spoke with resident daughter on 12/4/23 to get updates on resident. LPA interviewed Kuldip regrading the follow up with the resident current condition. Resident is currently at the rehab recovering, and while return after facility do an evaluation. Prior to the fall resident was very independent, self-care, and self-med with no assisted devices. LPA obtained: Staff roster, resident roster, resident progress notes, and a copy of the incident report that faxed to CCLD on 12/5/23. No deficiencies cited. Exit Interview conducted and a copy of this report provided via email.