Incident investigation·August 4, 2025

Licensing Program Analyst (LPA) Celine Rodriguez conducted an unannounced case management visit to the facility to follow up on an incident that was reported to the Department on 7/28/25. LPA Rodriguez was greeted and met with facility by Business Office Manager (BOM) Sharin Belanger and Wellness Director (WD) Mary Clark. On 7/23/25, resident 1 (R1) sustained an unwitnessed fall at the facility, which resulted to a head injury and radial head fracture. Per LPA's interview, observation and review of documents, R1 sustained an accidental unwitnessed fall on the way to use the bathroom, and facility immediately contacted 911 for medical attention. Per R1's physician report, R1 is able to use bathroom on their own and able to care for own tolieting needs. Upon R1's return to the facility after the hospital discharge, facility has designated staff to assist R1 with tolieting. During this visit, LPA Rodriguez observed that R1 was clean and happy. For this visit, there were no health and safety concerns noted. No citations were issued for this visit. An exit interview was conducted with BOM Belanger and WD Clark. A copy of this report was provided and explained.