Incident investigation·March 7, 2025

On 3/7/2025, Licensing Program Analysts(LPAs) John Calandra and Yi Sam Jian, arrived at the facility to conduct a Case Management visit in regards to a self-reported incident report received by the Department on 2/25/2025, regarding a resident who sustained multiple fractures. LPAs were greeted by David Nelson, Director of Clinical Services. LPAs received copies of the following documents: - Care notes for R1 - LIC 602: Physician's Report for R1 - Service Plan for R1 - Admissions Agreement No deficiencies cited during today's visit. An exit interview was conducted. This report was reviewed with David Nelson, Director of Clinical Services and a copy of the report provided.