Incident investigation·August 10, 2022

Licensing Program Analyst (LPA) Joseph Alejandre made an unannounced visit to follow up on an incident report received on 8/9/22. LPA met with Executive Director (ED) Susie Peterson and Director of Nursing Khatera Bahadory. LPA explained the reason for the visit. The incident reported concerned Resident 1 (R1) becoming aggressive toward staff and Resident 2 (R2). Around 6:30 pm on 8/8/22 R1 became agitated. Staff noticed this and walked alongside R1. R1 attempted to push R2 who was standing in front of R1. Staff intervened and separated the residents. R1 was still agitated and did not respond to staff attempting to redirect and de-escalate the situation. Staff called 911. The family was notified and agreed to send R1 to the hospital. R1 returned the next day. The facility contacted R1's physician who adjusted R1's medication. No injuries were noted on R1, R2 or staff. The facility ensured all residents were unharmed and reported the incident to the required parties. LPA observed R1 at the facility. R1 had no visible injuries and was sitting in the dining room getting ready to have lunch. R2 was out of the facility on an activity with other residents and facility staff. No deficiencies are being cited as a result of this visit. An exit interview was conducted and a copy of the report provided.