Incident investigation·September 12, 2024

On September 12, 2024, Licensing Program Analyst (LPA) Murial Han conducted an unannounced Case Management visit to follow up on an incident that was reported by the facility. LPA met administrator, Freddie Fullon and explained the purpose of today's visit. On August 1, 2024, the facility reported that resident #1 (R1) was transferred to the hospital due to a change of condition and while at the hospital, R1 verbalized to the hospital staff that he/she was afraid of a caregiver as the caregiver was being unprofessional while caring for R1. Subsequently, the hospital reported to the facility and the facility conducted an investigation, and reported it to the Local Police Department and the Ombudsman. R1 has returned to the facility and the facility has implemented new interventions to ensure R1 feels safe at the facility. During today's visit, LPA met with R1 who stated that everything has improved since meeting with the Administrator and the Resident Service Director. R1 also stated that all the caregivers are very professional and nice. No deficiency is cited today. This report is reviewed and discussed with the Assistant Administrator, Kari Jane and a copy is provided.