Follow-up·December 16, 2022

Licensing Program Analyst (LPA) Joseph Alejandre made an unannounced visit to conduct a case management visit. LPA was screened for Covid-19 and granted entry. LPA met with Health Services Director. Karen Ashley. LPA explained the reason for the visit. The Agency (CCL) received a unusual incident report (LIC 624) on 12/09/22 which reported that Resident 1 (R1) had an unwitnessed fall on 12/4/22. Facility staff contacted the Hospice nurse. The Hospice Nurse examined R1 and called 911 to have them transferred to Mission Hospital. The responsible party for R! and the primary care physician (PCP) were notified. Resident was treated at the hospital and released on 12/9/22. R1 has a 1 on 1 care provider at this time and has been put on alert charting for 3 days. Staff reported that R1's service plan will be updated. R1 has returned to the facility. LPA observed R1 in their room. R1 reported no issues. LPA reviewed R1's physician's report (LIC 602A) and hospital discharge paperwork. LPA consulted with the Health Services Director concerning staff training, visiting guidelines and reporting requirements. No deficiencies are being cited as a result of this visit. An exit interview was conducted and a copy of the report provided.