Follow-up on corrections·September 28, 2023

**Please note this is corrected version from previous report dated 7/17/23. Deficiency issued on 7/17/23 has been changed from Type A to Type B. Please see new LIC 809-D page.** Licensing Program Analyst (LPA) Kimberly Ramirez conducted a Case Management VISIT DEFICIENCIES on 7/17/23 at 10am, stemming from initial complaint investigation on 7/17/23. LPA Ramirez gained entry into the facility at 9:25 am. LPA Ramirez requested and obtained copies of Resident #1 (R1): Face sheet, Physician Visit dated 06/15/23, Identification and Emergency Information form, Physician’s Report dated 3/23/23, Order Summary Report dated 4/5/2023, Individual Service Plan (ISP) dated 3/20/2023, Medication Administration Record (MAR) for May, June and partial month July of 2023, Resident #2 (R2) Face sheet, Physician’s Report dated 5/23/23, Resident #3 (R3) Face sheet, Physician’s Report, Resident #8(R8) Face sheet, Physician Visit dated 06/15/23, Identification and Emergency Information form, Physician’s Report dated 6/01/23, Order Summary Report dated 6/12/2023, and facility Blood Sugar Log for June 26, 2023. Case Management-Deficiencies findings: · LPA Ramirez conducted four (4) record reviews of Resident #1, 2,3, and 8 (R1, R2, R3, R8) medical file. · LPA Ramirez discovered that R1 seen their physician on 6/15/23 and R1’s physician ordered R1 blood sugar to be checked before breakfast, lunch and bedtime. Individual Service Plan (ISP) dated 3/20/2023 states Assisted Living Facility (ALF) will monitor blood sugar 3x/day and will report high or low glucose to MD. LPA Ramirez could only locate documentation for 6/26/23 that indicates facility staff checked R1’s blood sugar. LPA Ramirez could not locate documentation that facility staff checked R1 blood sugar from 6/16/23 to 6/25/23 3x per day as ordered by R1’s physician. · LPA Ramirez discovered that R8 seen their physician on 6/15/23. R8’s physician ordered R8’s blood pressure to be monitored and logged for seven (7) days. R8’s Physician Report dated 6/1/23 indicates R8 should “hold” on taking a certain prescribed medication if R8’s blood pressure is under 100. Facility staff could not provide proof of log to LPA Ramirez. Deficiencies are being cited. Exit interview was conducted. A copy of this report, 809-D and appeals rights was provided.