Follow-up on corrections·May 29, 2024

On 05/29/2024 Licensing Program Analyst (LPA) Evelin Rios conducted an unannounced Case Management - Deficiencies visit in conjunction with complaint control #31-AS-20240524135605 . LPA met with Administrator Jessica Pelaya and explained the purpose of the visit. At approximately 10:35 a.m. LPA requested copies of documents in resident #1s (R1's) file. LPA reviewed the following: Identification and emergency information, Physician's Report, Preplacement Appraisal, Appraisal/Needs and Services Plan, various discharge paperwork, and Individual Service Plan. According to R1's records and interview with administrator R1's cognitive ability has declined. Furthermore, interview with Assisted Living Waiver Registered Nurse (RN) responsible for placement assistance corroborates R1 has had a change in condition which would require R1 to have a higher level of care. Review of physician's report revealed it was conducted in 2021. R1's Appraisal/Needs and Services Plan indicated it is an updated appraisal but does not have a date and does not include information relevant to residents current health condition and behavior R1 engages in. Deficiency cited (refer to 809D). Exit interview conducted, appeal rights provided, and a copy of the report was given.