Follow-up·November 4, 2022

On 11-4-22 at 1:15pm, Licensing Program Analyst (LPA) Michael Bilger arrived unannounced to conduct a case management visit regarding staffing and lift assists. LPA met with Administrator Anuradha Saini and explained the purpose of the visit. LPA interviewed Administrator and reviewed staffing schedule for 10-29-22 night shift. LPA also reviewed incident report for resident1 (R1). Based on interviews and record reviews, it was determined that R1 sustained an unwitnessed fall without injury on 10-29-22, and staff notified fire department for a lift assist. It was further determined that R1 refused to go to the hospital. Staffing on 10-29-22 night shift included 1 med tech and 3 caregivers. LPA offered technical assistance on when facility shall call 9-1-1 and additional resources utilized for assistance with lifts including but not limited to: Use of mechanical lifts or other means provided appropriate documented training is in place. Administrator stated additional training will be put in place for staff to recognize need for 9-1-1 calls versus needed internal assistance for residents in care. No deficiencies cited today as a result of this case management. An exit interview was conducted with Anuradha Saini and a copy of this report was left with Anuradha.