Incident investigation·January 21, 2026

LPA arrived unnannounced to the facility on 1/21/26 at 10:45am to follow up with a significant incident report involving a resident that had a bacteriological infection leading to siezures. LPA explained the purpose of the visit to Administror Rolondo Santiago. LPA reviewed most recent discharge order dated 12/19/25, instructs the client to complete antibiotic course, folow up with neurologist, follow up with primary care physician(pcp). 12/29/26, PCP(worried about MRSA, wont perscribe more than short course (IV in the hosptial is most effective), Enlarged prostate complicates inspection of the area, diabetes complicates symptoms that appear similar., Idd affects catheter candidacy), neuro scheduled today 1/21/26, urology scheduled for the future, 1/26/26. LPA reviewed MAR, the antibiotic course was finished 12/26/25, all medication dispersed no notes. Per Administrator interview about the PCP visit, Siezures mostly triggered by infection, headache, Focal siezure, confusion are the dominant symptoms. Staff are trained, via in-service to review medications(antibiotics), when staff are hired as part of the initial training(siezure, diabeties are reviewed). Ongoing measures taken by the facility are to Monitor and log hydration, Bowl Movements, siezures. LPA reviewed logs, they are filled out to the current date. Per staff interview, 2 staff verbally confirmed they aware of the signs and symptoms that should be noted in daily logs. Per client interview, the client appears stable. monitoring and going into the hospital as appropriate has brought down the number of infections requiring hosptialization in the past. client has a call button for immidiate distress. No citations issued a copy of the report was read and given to the administrator. Exit interview conducted.