Incident investigation·February 23, 2023

LPA Parks arrived on Thursday February 23, 2023 to conduct a case management visit. Prior to the visit, LPA completed required COVID-19 testing protocols, and a daily self-screening questionnaire for symptoms of COVID-19 infection to affirm no COVID-19 related symptoms; LPA ensured she applied hand sanitizer before entering the facility and the following Personal Protective Equipment (PPE) was worn: surgical mask. This is a follow up visit for an incident that occurred on 2/18/2023. As R1 was sitting in their recliner, R1 then attempted to stand up independently and fell on the floor. R1 was transferred to the bed where the Licensee did a body exam. No pain, bruising, or skin tears were observed. Later, R1 complained of pain around the right hip. Hospice and DPOA were called. 911 was called and R1 was transferred to the hospital where they were diagnosed with a hip fracture. LPA interviewed S1 and Licensee who were present during the incident. LPA obtained the following documents: R1's physicians report, care plan, and current medication list. No deficiencies were cited. Exit interview conducted.