Incident investigation·March 19, 2024

Licensing Program Analyst (LPA) Michael Hood arrived at the facility and met with Executive Director (ED), Alicia Rist, to conduct a case management visit regarding incident reports received by the Department. An Unusual Incident/Injury Report (SIR) was completed for an incident that occurred on 3/1/2024, in which a resident lost their wallet. Interview with ED indicated that the facility checked the entire Memory Care Unit (MCU) and spoke with the resident's family. Family report that a bank card was lost but didn't have activity on the card. Facility recommended to cancel the card. A police report was filed regarding the incident. As of today's date, the wallet has yet to be relocated. Facility will follow-up on the status of the lost wallet with resident's family. The Department received SIRs for falls dated 11/10/2023, 12/28/2023, 1/3/2024. LPA followed up regarding each residents' history will falls and the preventative measures made on behave of the facility to address falls. LPA followed-up regarding a resident-on-resident altercation dated 2/17/2024. Two residents had a physical altercation in the dining room and had already separated before staff could intervene. There were no injuries reported regarding incident. Resident and residents' families were consulted with the facility's house rules and no other altercations have been reported. As a result of today's visit, no deficiencies are being cited. LPA will conduct a visit to follow-up regarding incidents if the Department deems necessary. Exit interview was conducted with ED and a copy of this report was provided to the facility. Signature on these forms acknowledges receipt of these documents.