Complaint·November 22, 2024

(continued from LIC9099) On November 22, 2024, LPAs conducted a visit to the facility. LPAs obtained resident roster, personnel report, physician's report, hospital discharge paperwork, Individual Service Plan, daily health check log and preplacement appraisal. LPAs reviewed hospital discharge paperwork. Per the discharge paperwork, Resident 1 (R1) was admitted to the hospital on August 21, 2024 due to "being found down in the street." The discharge paperwork goes on to say "Per EMS report, patient was found face down on the curb with possible seizure-like activity prior to EMS arrival." LPAs reviewed R1's Physician's Report dated June 3, 2024. Per physician's report, R1 is unable to leave the facility unassisted. LPA conducted an interview with Administrator. AD stated R1 left the facility unassisted. Based on records reviewed, LPAs determined a lack of supervision resulted in R1 leaving the facility unassisted. The preponderance of evidence standard has been met. The allegations are determined to be SUBSTANTIATED, meaning the complaint allegation is valid and that one violation occurred. An exit interview was conducted, and this report was reviewed with facility staff. A copy of this LIC-9099, deficiency page and appeal rights were provided to the facility.