Incident investigation·November 10, 2025

On 11/10/2025, Licensing Program Analyst (LPA) Jaime Vado conducted an unannounced case management visit in response to an incident report received on 10/08/2025. LPA met with assistant general manager Armando Prado and explained the purpose of today's visit. According to the incident report received, the resident fell while outside of the facility and hit their head. Resident was brought back to the facility by a good samaritan. The facility called 911 due to the injury to the head and the resident was evaluated at the hospital and the facility notified responsible parties and the primary care physician of the resident. The resident returned to the facility with discharge instructions. LPA reviewed the file of the resident and found that the resident is allowed to leave the facility unassisted. The resident walks on their own and is ambulatory with no walking aids or devices. The resident goes on walks on their own regularly outside of the community. The resident is back in the facility and has recovered back to baseline with no injuries or changes in status. No citations issued. Report is reviewed with Armando and a copy is provided.