Follow-up on corrections·October 9, 2024

This report has been amended to correct deficiencies from type B to type A. Licensing Program Analysts (LPA), Valeria Conway, conducted an unannounced Case Management - Deficiencies visit in conjunction with a complaint visit (Complaint control # 29-AS-20240311081755). The purpose of this visit is to issue citations for deficiencies observed during the complaint investigation which were not related to the complaint. Upon arrival LPA met with Administrator, David Aguiniga and explained the reason for the visit. During the Department’s investigation of complaint, the following deficiencies were observed: Resident #1 (R1s) care with Star World Home Health began on 01/30/2024, the home health nurse reported a Stage 2 pressure injury on R1’s coccyx measuring 0.3x0.2x0.2cm. A Physician’s Order from Dr. David Wong recommended a Skilled Nursing visit one time a week for 3 weeks. Dr. Wong’s order stated the following, “Skilled Nurse to perform/demonstrate and instruct patient/caregiver regarding coccyx pressure ulcer as follows: cleanse with wound cleanser, pat dry, apply triad paste and leave open to air daily. Patient caregiver may perform treatment during non-Skilled Nurse visit days. Coccyx pressure ulcer will be healed with current treatment by 4 weeks. Wound will remain free from signs and symptoms of infection, or complications during the treatment period”. The administrator was made aware of and agreed to the treatment plan. The staff were not skilled professionals qualified to perform the treatment. R1’s pressure injury became progressively worse and by 03/01/2024, R1 was diagnosed with an unstageable pressure injury. Continued on LIC 809-C Continued from LIC 809 There were no home health logs or staff notes available at the facility regarding R1’s home health care and treatment plan documenting all aspects of R1’s care. R1’s Physician Report, dated 12/22/2023, indicated that R1 did not have the capacity for any self-care, required continuous bed care, was not able to transfer independently to and from bed, was non-ambulatory, and diagnosed with dementia. The facility did not submit an exception request for the prohibited condition “Resident who depends on others to perform all activities of daily living for them”. Citations issued, exit interview, appeal rights given. On 10/22/2024 At 3:51 p.m., LPA spoke to David Aguiniga to explain the reason for amended report. Copy of report was emailed to daguiniga@glenparkseniorliving.com. LPA requested the report to be sent back with signatures.