Follow-up·February 19, 2025

In conjunction with a One (1) year inspection to the facility, Licensing Program Analyst (LPA) Antonia Alvizar-Ettima conducted a case management visit to address the deficiencies unrelated to the inspection. During inspection, at about 1:52p.m., LPA noted resident #1 (R1) was restrained to the wheelchair with a gait belt as postural support. The gait belt easy release buckle was on the back of the wheelchair. At about 1:53p.m. LPA interviewed staff #1-#2 (S1-S2) and indicated that the gait belt is used to prevent R1 from standing and sliding off wheelchair. Interview with R1 revealed that did not know why they placed the gait belt on them. R1 illustrated that was not able to release the gait belt on their own during emergency. LPA interviewed Administrator and requested prescription for the postural supports. Administrator was unable to provide the document. Based on inspection, observation and interviews it was concluded that licensee did not ensure that postural support provided to resident not depriving residents’ movement. Resident was restrained to the wheelchair and had no ability to release it. Deficiencies will be cited and recorded on LIC809D. Exit interview conducted. Copy of report, and appeal rights issued.