Incident investigation·January 19, 2023

Licensing Program Analyst (LPA) Celine De Perio made an unannounced case management visit to this facility to follow up on a Special Incident Report (SIR) received on 12/27/22, which occurred on 12/16/22. LPA De Perio was greeted and granted entry by staff on duty and LPA De Perio explained reason for visit. For today's visit, there are a total of 21 residents in care, of which 5 are on hospice. As of today, there are no active COVID cases in the facility as verified. LPA De Perio met with staff 1 (S1),staff 2 (S2) and facility administrator (AD) Aurelia Olais and conducted interviews regarding resident identified in SIR. S1, S2 and AD Olais stated that the incident reported via SIR happens "all the time". LPA De Perio conducted a tour of the resident's room and interviewed resident. LPA De Perio also reviewed and obtained copies of pertinent documents. At this time, no citations have been issued and no deficiencies have been issued. LPA De Perio conducted an exit interview with AD Olais and a copy of this report was provided to the facility.