Incident investigation·August 28, 2025

Licensing Program Analyst (LPA) Sabrina Calzada arrived unannounced to conduct a case management inspection and was greeted by Bright Asante, staff. LPA then met with Vera Okyere, Administrator, and explained purpose of inspection. LPA observed (1) resident in the common area and (3) residents in their rooms at the start of the inspection. Currently, there are (0) residents on hospice. LPA and the Administrator discussed a recent incident report where resident (R1) went to the emergency room on 8/23/2025 in the afternoon. The incident report was submitted to the Department on 8/27/2025 and notes resident's speech therapist was present and requested resident be sent to the emergency room after taking resident's vitals and determining they were not normal. The report includes that resident was diagnosed with a Urinary Tract Infection and would be in the hospital for a few days. The Administrator stated (R1) had recently moved in, and the family stated resident would stay for only (3) weeks after being discharged from a skilled nursing following a stroke and surgery. The Administrator stated when she visited the resident in the hospital, on 8/26/2025, she was told (R1) would return the following day. The Administrator stated that (R1) was discharged to a skilled nursing facility on 8/27/2025 where she will remain for a few days and explained (R1) was using a foley catheter. The Administrator stated she told the nurse two days before resident went to the hospital, (R1) wasn't drinking enough water, the nurse said to increase/encourage more water intake, which the facility did. Additionally, (R1) had just finished eating lunch prior to the speech therapist visiting on 8/23/2025. It appears the facility took appropriate action in discussing concerns with the home health nurse. There are no citations issued in this report. Exit interview. Copy of report provided.