Routine inspection (multi-day)·June 19, 2025

At 09:43am, on 06/19/2025, Licensing Program Analyst (LPA) Haner-Tomasko arrived at the facility unannounced to continue the annual facility inspection started on 6/18/2025. LPA met with Administrator Liza Hix, announced who he was and the reason for the visit. LPA conducted staff and resident file reviews. During file review of Resident #1 (R1) LPA noted resident sustained three falls in 2024 and three falls in 2025 with no reappraisal completed reflecting care needs and fall mitigation measures. LPA noted a reappraisal was completed for R1 on 6/18/2025 when LPA started the resident file reviews. A resident assessment was completed for R1 on 12/30/2024 indicates the residents mobility as independent with no reference to fall risk. LPA aske d Vice President of Operations Lisa Hulse and St aff #1 (S1) if a reappraisal has been completed reflecting the residents fall risk and change of condition, both stated "no there is not." During file review LPA noted Resident #2 (R2) receiving home health care for a wound on their right calf. In a fax to the physician from facility staff dated 5/9/2025 staff stated "Wound on right calf looks infected." LPA noted a reappraisal completed for R2 on 12/20/2024. When LPA asked Lisa Hulse and S1 if there is a reappraisal reflecting R2's change in condition regarding the wound and Home Health intervention they stated "no there is not." LPA and Administrator conducted a review of the annual care tool. Pursuant to Title 22, California Code of Regulations, the following deficiency is cited (refer to LIC809-D). Exit interview conducted, appeal rights and a copy of this report issued.