Incident investigation·April 25, 2023

LPA Spaeth arrived and was greeted by caregiver at 9:00 am. The Licensee/Administrator arrived to the facility at 9:10 am. LPA stated the purpose of the visit was regarding an incident report dated 4/15/2023. Licensee confirmed there are six residents. LPA and Licensee toured facility at 9:25 am until 9:45 am. LPA did not observe any health or safety issues. LPA interviewed the resident (R1) at 9:45 am until 10:00 am and interviewed the Licensee at 10:15 am until 10:25 am. LPA confirmed with R1 and the Licensee that R1 fell on 4/12/2023 and went to the hospital on 4/15/2023. LPA confirmed with the Licensee the date was incorrect on the incident report. During LPA's visit, the Licensee corrected the incident report and LPA obtained a copy of the corrected report. There are no deficiencies to report at this time. Exit interview coneucted, and a copy of the signed report was given to the Licensee.