Follow-up on corrections·November 30, 2023

Licensing Program Analyst (LPA), Stephanie Martinez, conducted an unannounced visit to address a violation observed during the investigation of complaint #18-AS-20200428122059. The LPA met with Executive Director, Marguerite Crockem, and informed her of the purpose for her visit. The investigation revealed R1 was found on 04/24/2020, outdoors, on the facility premises, with observable injuries. The exact time of when R1 was found could not be determined. It was reported R1 was found sometime between 2:15pm and 2:50pm. Interviews reported R1 was outside, sitting in a chair, directly in the sun, and unresponsive. Interviews revealed R1 was observed with blisters on the leg, arms, hands, and elbows. Staff One (S1) reported R1's condition did not rise to a level of an emergency and the hospice agency was contacted instead, per facility protocol. Interviews revealed S2 told the caregivers to take R1 to the shower to cool the resident down. R1's hospice nurse documented receiving a call from the facility at 3:30 pm reporting that R1 seemed to have had a “heat stroke” and cooling measures were being done. The Nurse arrived at the facility at 4:20 pm and found R1 in bed unresponsive, with cooling measures being done. According to the Nurse, R1 still felt hot to the touch and their temperature was at 103.5 ⁰F. The Nurse stated that 911 was called during their visit. It was reported that when paramedics arrived, R1 started to seize as they were being transported to the hospital. A Discharge Summary from the hospital, dated 04/28/2020, revealed R1 was diagnosed with Second Degree Sunburn. Therefore, based on interviews and records, a citation will be issued due to failure to seek timely medical attention. An exit interview was conducted where this report, LIC 809D and appeal rights were discussed and provided to the Executive Director.