Incident investigation·September 24, 2024

On 09/24/24, Licensing Program Analyst (LPA) arrived at the facility unannounced to conduct a case management visit based on an incident report received. LPA was greeted by caregiver, stated the purpose of the visit and was allowed entry into the facility. Administrator arrived to the facility shortly after LPA's arrival. On 07/15/24, LPA received an incident report from the facility stating staff observed Resident R1 not feeling well. Facility contacted Emergency Medical Services (EMS) who transported R1 to hospital. R1 was admitted and discharged back to the facility on 07/20/24. On 07/23/24, staff observed R1's oxygen level to be low and again and contacted EMS, who transported R1 to hospital and again admitted. R1 was reassessed and discharged back to the facility with Home healthcare services. LPA observed R1 at the time of visit to be clean, well groomed and alert. LPA observed Home Healthcare plans, facility restricted health care plans and evidence of training. Exit interview conducted with Administrator. No deficiencies cited.