Incident investigation·November 9, 2023

Licensing Program Analyst (LPA) Helena Rummonds arrived unannounced at approximately 2PM and met with Executive Director (ED), Liza Hix to conduct a Case Management on Incident Reports received by CCL on 11/03/2023 and 11/08/2023. ED had to step away at end of visit due to a schedule conflict, Business Office Director, Tristan Amari went over report and signed. Incident Report dated 11/03/2023 Resident 1 (R1) was found by staff on floor face down stating that Resident 2 (R2) hit them. R1 sustained an injury on their left elbow and was taken to the hospital for an evaluation. Both residents reside in Memory Care. Per conversation with ED, R2 walks swiftly through facility to get exercise, and it is believed that R2 bumped into R1 causing R1 to fall down. R2 does not have a history of violent behavior and there have not been any altercations between the residents since this incident. Incident Report dated 11/08/2023 Resident 3 (R3) reported to staff that they were missing a watch valued at $200 and $50 in cash. Facility made a police report and helped R3 look for their missing items. The room was searched and missing items were not found. A phone call was made to R3s daughter who said that R3 loses things regularly and is known to find missing items in their pockets. LPA requested R3s Physicians Report that shows neither Mild Cognitive Impairment or a Dementia diagnosis. Per conversation with ED, R3 has plans to move out of facility. Should R3 decide to stay residing at facility, facility to arrange for R3 to receive an updated physicians report. No deficiencies cited during visit. Exit interview conducted, copy of report and confidential names (811) provided.