Incident investigation·October 14, 2022

On 10-14-22 at 1:30pm, LPAs Michael Bilger and Renee Campbell arrived unannounced to conduct a case management visit due to an incident which occurred on 9-10-22. LPAs met with Administrator Anuradha Saini and explained the purpose of the visit. LPA Bilger conducted interview with Administrator and reviewed incident report dated 9-12-22. Based on interview and record review it was determined that on 9-10-22, resident1 (R1) caused damage to the ceiling sprinkler in R1’s room resulting in water damage and flooding within the room which also caused the alarms to sound. The damage resulted in air conditioning unit to malfunction for a brief period of time and the temporary relocation of memory care residents to another location of the facility. Based on interview, memory care residents were relocated to the dining room area temporarily with sufficient staffing numbers for supervision including monitoring of all exit doors until returning to room same day. Residents in care were provided fans and hydration as necessary. Resident room temperature was monitored by on duty staff to ensure sufficient temperature range. Air conditioning unit was functioning fully on 9-12-22, then slightly malfunctioning on 9-14-22 due to the 9-10-22 incident, and repaired same day to fully functional status. No disruption in care or other resident activity reported. Meals remained served on time and fans continued to be provided for all residents in memory care. Incident was reported to licensing department within regulatory guidelines. No deficiencies cited as a result of today’s visit. An exit interview was conducted with Anuradha Saini and a copy of this report was left with Anuradha.