Incident investigation·November 29, 2022

***This report was originally had written by LPA Calderon on 11/29/22 and on 12/28/22 typed on FAS*** Licensing Program Analyst (LPA) Ashley Calderon conducted an unannounced case management visit due to an incident reported to Licensing on 11/02/2022. LPA met with the Administrator, Diana Medina, and explained the purpose of the visit. The incident report states, Resident #1 (R1) lost balance and fell from stair case on the exterior Magnolia Court corridor, from the Bistro building. Per the Administrator, Diana Medina R1 was an independent resident, did not require any assistance, fully ambulatory. Based on the physician's report, R1 is able to leave the facility unassisted and does not have Dementia or any cognitive impairment. LPA and Medina toured the outside of Palm Plaza courtyard and Magnoila Court Building (M.C.B), is where R1 fell, on the extgerior staircase of building. LPA interviewed Diana Medina and interviewed R1 in the SNIF side of the facility. LPA gathered and reviewed Physician Report, Facesheet, Preplacement Apprasal, Hospital Report, Medication Records, Radiology Result Report, Orthopedic Notes, Physical and Occupational records. Based on record review R1 was discharged from the hospital on 11/08/22 and admitted to the SNIF for recovery. Based on the information gathered, there is no signs of neglect or lack of supervision found. No deficiency was issued. An exit interview was Administrator Diana Medina and a copy of this report was provided to the Administrator.