Incident investigation·May 3, 2024

Licensing Program Analyst (LPA) Daniel Pena, conducted an unannounced Case Management Visit.  LPA was greeted by and met with Director of Nursing, Divina Salinas to discuss the purpose of the visit. Today's visit is in response to a self-reported incident documenting a resident's unwitnessed fall. On 4/12/24, Resident 1 (R1) fell in the bathroom, striking their head. Emergency Medical Service (911) was called and R1 was transported to the hospital for evaluation and treatment. Per reporting, the resident sustained a hip fracture. LPA conducted interviews with staff and obtained and reviewed pertinent records. According to interviews with staff, R1 underwent surgery was transferred from the hospital to a skilled nursing facility. Director Salinas advised LPA that R1 will return to the facility after their rehabilitation. Based on LPA's investigation, no deficiencies were cited during today's visit. An exit interview was conducted with Director, Salinas, who was provided a copy of this report and Appeal Rights (LIC9056 03/22).  Ms. Salinas' signature confirms receipt of these documents.