Follow-up·May 12, 2022

Licensing Program Analyst (LPA) Sabrina Calzada arrived unannounced to conduct a case management inspection, while also conducting an annual inspection, to follow up on a death report received on 4/4/2022.. LPA met with Onyekachukwu "Jerry" Aniyie, caregiver and explained purpose of inspection. LPA and caregiver attempted to contact Administrator several times during inspection but due to an emergency, Administrator was not able to return LPA's call until approximately 3:30 pm. Prior to initiating today's inspection, LPA completed required COVID-19 testing protocols and confirmed the facility does not currently have any positive Covid-19 diagnoses. LPA was screened per Covid-19 precautionary measures upon entering the facility. LPA ensured she applied hand sanitizer before entering the facility and the following Personal Protective Equipment (PPE) was worn: KN95 mask. LPA observed (1) resident in the common area watching television and (1) resident to be in their room. There are currently (0) residents on hospice services. LPA discussed death report (LIC624A) received by the Department on 4/4/22 for resident (R1) who passed and was not receiving hospice services. Report indicates that resident was discharged from hospice on 10/29/2021. Administrator stated that resident's family was going to put resident back on hospice but she passed. Administrator stated that resident was receiving home health services, including physical therapy prior to passing. Administrator agreed to reach out to resident's family and provide the Department with an official death certificate once available and/or documentation showing resident was approved to go back on hospice. Documentation to be submitted to the Department by 5/26/2022. There are no deficiencies being cited on this report. Exit interview with caregiver. Administrator authorized caregiver to sign today's report.