Incident investigation·July 29, 2024

On /7/29/2024, LPA Johnson arrived unannounced to conduct a case management visit into an incident report received on 7/26/2024. The incident detailed that a Resident found a bottle of cleaning solution in the bathroom of his apartment. R1 drank half of the cleaning solution when staff intervened. He said he did it because “it was a good way out.” Poison control was called and he was transported to St. Joseph emergency room and R1 is presently being care for there. LPA reviewed resident file and obtained copies of relative information. R1 Physician's report confirmed that R1 is able to maintain his grooming and hygiene items. R1 discharge summary from St. Joseph's Behavioral health dated 2/9/2024 confirmed that R1 presented to the emergency room with suicidal Ideations and severe depression. LPA advised the facility to report all incident to the department and to provide the required information to confirm a new Administrator. Deficiencies were cited on the attached 809 D page. At the time of the visit, the issuance of a Civil Penalty was still being determined and the licensee was informed that a civil penalty might be assessed. Exit interview conducted and appeal rights given.