Incident investigation·June 17, 2024

On 6/17/2024, Licensing Program Analyst (LPA) Albert Johnson conducted an unannounced Case Management visit today at the facility. LPA was following -up on an incident dated 6/11/2024 for a fall with a fracture. During visit LPA Johnson reviewed records for R1, interviewed the Resident Services Coordinator about events related to R1's service needs. The records reviewed included transmittals to R1's primary care physician (PCP). The records indicated that R1 had an incident on 5/28/2024, R1 stated to staff that " I ran into a wall". R1 was complaining about left arm pain. R1 was given a PRN medication (Tramadol). R1's information was sent to the PCP on that same day 5/28/2024 and the PCP ordered the facility to get a X-ray of the left arm. On 6/4/2024, the facility received notification from the responsible party(RP) for the resident. The RP refused to follow PCP orders to have left arm X-rayed. (RP Stated "not necessary.") On 6/11/2024, R1 had a fall, called 911 themselves, R1 was complaining about left arm pain, R1 was taken by AMR to the ER and was treated for a fracture of the hip. Deficiencies were cited during this visit. The Department will review the information and will return at a later date if a civil penalty is warranted. Exit interview held.