Follow-up on corrections·January 8, 2024

Licensing Program Analyst (LPA) Kimberly Ramirez conducted a Case Management Visit-Deficiencies on 01/08/2024 at 8:30 am, stemming from subsequent complaint investigation conducted on 01/08/2024. LPA Ramirez was greeted by Assistant Administrator Khrysta Margaros. Case Management-Deficiencies findings: · LPA Ramirez toured room 244 and observed several brownish-red stains of different sizes on Resident#6 (R6) pillowcase. Per facility staff, this room is being treated for bed as of 12/19/2023. Per 87307-Personal Accommodations and Services- (3) Equipment and supplies necessary for personal care and maintenance of adequate hygiene practice shall be readily available to each resident. The resident may provide the following items; however, if the resident is unable or chooses not to provide them, the licensee shall assure provision of: (C) Clean linen, including blankets, bedspreads, top bed sheets, bottom bed sheets, pillowcases, mattress pads, bath towels, hand towels and wash cloths. The quantity shall be sufficient to permit changing at least once per week or more often when indicated to ensure that clean linen is in use by residents at all times. The linen shall be in good repair. The use of common wash cloths and towels shall be prohibited. LPA Ramirez will issue deficiency based on observation. · Facility staff could not provide LPA Ramirez with proof of an Unusual Incident/Injury Report (LIC 624), for reporting bed bugs in the facility. Per 87211-Reporting Requirements- (a) Each licensee shall furnish to the licensing agency such reports as the Department may require, including, but not limited to, the following: (D)Any incident which threatens the welfare, safety or health of any resident, such as psychological abuse of a resident by staff or other residents, or unexplained absence of any resident. LPA Ramirez will issue deficiency based on observation. Deficiencies are being cited. Exit interview was conducted. A copy of this report, 809-D and appeals rights was provided.