Follow-up on corrections·December 8, 2023

Licensing Program Analyst(LPA) Mary Flores conducted an unannounced case management visit at the facility to follow up on incident report submitted to the department on 12/7/23. LPA met with Stephanie Funderburg and explained the reason for the visit. On 12/7/23 incident report was submitted to the department notifying the following: On 12/4/23 Resident #1(R1) stated, "needed to leave and walked out the front door of the community." On 12/5/23 R1's family representative contacted the facility to notify them that Pasadena Police Department had taken R1 to the hospital after a verbal altercation outside the community. On 12/7/23 LPA followed up and requested a copy of physician's report and needs and care plan. Upon review of Physician's report dated 11/2/23 it was discovered R1 was check under applicable with dementia and notes R1 can leave the facility unassisted. Physician's report was signed by legal representative (POA). During today's visit LPA requested a copy of admission agreement, medication sheet, and identification and emergency information. A copy of Power of Attorney is not on file but the facility will obtain a copy from the legal representative. During interviews with assigned administrator and staff, it was noted that R1 had left the facility unattended twice before as was allowed as the physician's report notes R1 is able to do so. Facility has notified R1's representative each time and R1 has return to the facility within 24 hours. Due to the physician' report being noted that R1 has dementia facility and is able to leave the facility unassisted and has a power of attorney it is unclear whether R1 is able to make this decision and remain safe outside the facility. The facility will obtain a reassessment of the physician's report to note the diagnosis correctly and resident's capabilities. The facility will submit a copy of reassess physician's report and power of attorney to the department by 12/18/23. No deficiencies were noted during this visit. Exit interview was conducted with Stephanie Funderburg and a copy of this report was provided.