Incident investigation·September 19, 2023

On 09/19/2023 at 3:00 PM, Licensing Program Analyst (LPA) J. Sampair arrived unannounced for a case management visit concerning the 09/12/2023 incident with R1 and W1 described in the 09/15/2023 unusual incident report. Upon entering facility, LPA stated purpose of visit to Executive Director (ED) Ricardo Romero. During the visit, the LPA interviewed Assisted Living Director (ALD) Jessica Gurnack. The ALD retold the incident as it was described in the Unusual Incident Report. She also provided an update on the current status of R1, who chose to return to the facility as soon as she was able to after her hospitalization and skilled nursing. She currently has a 24/7 private caregiver assisting her with all activities of daily living during her period of recuperation. No citations issued during this visit. Exit interview was conducted with Assistant Executive Director (AED) Iryn Macamay. A copy of this report was provided via email.