Incident investigation·December 22, 2022

Licensing Program Analyst (LPA) Kimberly Lyman made an unannounced case management visit to follow up on an incident report received by Community Care Licensing (CCL) on 11/21/2022. LPA was greeted and granted entry into the facility by Executive Director Eric Medor and explained the reason for the visit. Incident report dated 11/15/2022 indicated a fall alert for Resident 1 (R1) and staff responded. R1 stated falling while using the restroom. R1 was transferred out with a fracture of the left hip, non-operable. Resident was transferred to a skilled nursing and returned to facility on 12/01/2022. Resident returned on hospice due to decline. Physician report dated 01/10/2022 indicated resident was independent with no mental decline. Re-assessment on 11/28/2022 indicated a diagnosis of Dementia. LPA met with R1 and R1's son during the visit. Both verbalized satisfaction with facility services and caregiving. R1 has had a 24 hour care companion since returning to the facility. No falls or issues since return. No deficiencies noted during today's visit. Exit interview conducted and a copy of this report was left at the facility.