Incident investigation·March 19, 2024

On 3/19/2024 Licensing Program Analyst (LPA) M. Garza arrived for an unannounced case management visit. LPA met with Administrator, Virginia Penner explained reason for visit and was permitted entry into the facility. A health and safety check was completed on residents in care. LPA observed residents in common areas and in rooms. This case management is being completed for 2 special incidents received by the facility. Special incident #1 was received on R1. R1 had received some unexplained bruising. LPA reviewed medical chart which notated R1 had a fall. R1 was seen by the physician the following day and assessed with no additional orders. LPA reviewed records and completed interviews. At this time, no further follow up needed. Special incident #2 was received on R2 stating that R2 had a fall resulting in R2 being taken to the ER. R2 has a history of falls. It was reported R2 sustained a suspected GI bleed. Hospital noted a GI lesion that explained reason for concern. LPA reviewed records and completed interviews. At this time, no further follow up needed. No deficiencies cited during todays visit. Exit interview completed with Administrator, Virginia Penner. A copy of this report given.