Incident investigation·June 26, 2023

Licensing Program Analyst (LPA) Vincent Moleski arrived unannounced to conduct a case management visit following up on an incident report. LPA Moleski met with administrator Morgan Whinery and explained the purpose of the visit. On 6/6/23, a resident (R1) called 911 during mealtime. A medical technician overheard R1 calling 911. According to the incident report, R1 said that R1 "was not feeling well." LPA Moleski interviewed S1 regarding the incident report. S1 said that R1 had shown and expressed no previous signs or symptoms. LPA Moleski reviewed R1's LIC 602 and daily notes for the month of June 2023. R1's daily notes indicate that R1 was treated for neck pain and discharged with no new orders the same day. S1 said that staff reminded R1 that R1 can ask staff to get help if needed. LPA Moleski interviewed R1. R1 did not express any concerns regarding facility staff members or staffing levels. No deficiencies were cited during this visit. An exit interview was held and a copy of this report was left with Whinery.