Incident investigation·June 24, 2021

Licensing Program Analyst (LPA) Wolter arrived at the facility unannounced on 06/24/2021 to conduct a case management visit, LPA met with administrator Gladys Gasta and explained the purpose of the visit. Prior to initiating the case management, 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 they applied hand sanitizer before entering the facility and the following Personal Protective Equipment (PPE) was worn: N-95 Mask. Community Care Licensing (CCL) received an incident report on 06/21/2021 regarding an incident with resident (R1) on 06/19/2021. R1 was observed to be shaking while sitting in their wheelchair which is not their baseline, emergency services were called and R1 was treated by paramedics, paramedics contacted R1's responsible party and it was decided that R1 did not need to be transported at that time. Administrator informed LPA that R1 had another incident on 06/23/2021- incident report to follow, and that home health is being ordered for the resident. Administrator stated that a new care plan will be created with home health's recommendations and R1 has increased observation checks at this time. No deficiencies are being cited as a result of today's inspection. Exit interview conducted and copy of report to be sent to administrator.