Incident investigation·May 9, 2022

This unannounced case management visit is being conducted by Licensing Program Analyst (LPA) Ruth Martinez to follow up on an incident reported to Community Care Licensing. LPA arrived at facility was greeted by receptionist and granted entry. LPA met with Jennifer Suckiel, Executive Director and explained the purpose of today’s visit. Incident was self reported on 04/29/2022 regarding independent living resident R1’s incidents on 04/22/2022. On 04/22/2022 R1 activated red alert pendant, facility nurse responded to the call. Upon arrival nurse observed R1 to be seating upright on the floor by the bed. R1 reports that they were walking towards their bed and they lost their balance and fell. 911 was immediately called and paramedics arrived on seen and transferred R1 to local hospital for evaluation. Facility nurse conducted first aid to R1 until paramedics arrived on scene. R1 indicated to having pain in their right hip, R1 does not have a history of falls. All responsible parties were notified. R1 has not yet returned to the community as they will be check in to skilled nursing for further treatment of fall. R1 is an independent living resident that does not require a needs and services plan. R1 is ambulatory and is able to ambulate independently. R1 will be re-evaluated prior to returning to the community for any changes in condition. LPA found that facility acted appropriately and in a timely manner to address the incident and all other immediate attention to injuries in question. LPA did not observe any immediate and/or safety risks in or out of the facility. This report was reviewed with facility representative and a copy of this report was provided and left at the facility.