Incident investigation·January 9, 2024

Licensing Program Analyst (LPA) Vincent Moleski arrived unannounced to conduct a case management visit to follow up on two incident reports describing resident falls. LPA Moleski met with facility administrator Meggin Cortez and explained the purpose of the visit. The incident reports described an unwitnessed fall suffered by a resident (R1) on 12/4/23 and an unrelated fall suffered by another resident (R2) on 12/8/23. LPA Moleski interviewed Cortez and a staff member (S1) who was present when R2 fell. LPA Moleski reviewed resident records and facility records. No deficiencies were cited during this visit. An exit interview was held and a copy of this report was left with Cortez.