Incident investigation·May 5, 2021

On 05/05/2021 Licensing Program Analyst (LPA) Don Senaha conducted a Case Management visit at Clearwater At South Bay. Due to the situation surrounding the Coronavirus Disease 2019 (COVID-19), and to implement mitigation measures, today’s visit was conducted virtually via facetime with Michael Krieger/Administrator and Jamie Pyles/Health Services Director. LPA explained the purpose of the visit was to gather information. LPA Senaha received incident reports (LIC 624) via fax on 05/03/2021 from Jamie Pyles/Health Services Director (HSD) regarding unwitnessed falls of a resident (R1) on 04/24/2021 and a second fall on 04/29/2021. During today’s visit LPA interviewed Health Service Director and conducted an inspection of the resident’s (R1) room. Resident (R1) was not able to interview at the time of the visit. No deficiencies were found. LPA requested additional information to include a copy of resident’s (R1) physicians report, needs and service plan, progress notes, prescription order chart, current medications/treatments and fall risk plan. A telephonic exit interview via facetime was conducted with Michael Krieger and a hard copy was provided via email for signature.