Follow-up on corrections·November 7, 2024

On 11/07/2024, Licensing Program Analyst (LPA) Brian Phillips conducted an unannounced Case Management-Deficiencies visit. LPA arrived at the facility, met with Administrator Robin Murray, and announced the purpose of the visit. On 09/16/2024, Resident #1 (R1) sustained an unwitnessed fall while attempting to use the restroom, causing back and leg trauma. R1 stated to facility staff that they slipped and fell hurting their leg. R1 denied any pain medication and any medical treatment. The facility contacted the primary care physician for R1 who documented for the resident to continue their current plan of care. On 09/19/2024, staff documented that R1 was involved in an altercation with another resident. According to facility staff, R1 was struck by another resident in the face which caused R1 to begin bleeding. Facility staff documented that an incident report was completed, but the Licensing Agency has not received any unusual incident/injury report (UIR) regarding R1 while in care. On 11/07/2024/2024, LPA interviewed Staff about the lack of received Incident Reports to the licensing agency regarding either the incident on 09/16/2024 or 09/19/2024 occurring in the facility. The facility above has previously been cited for deficiencies regarding reporting requirements to the licensing agency on 07/11/2024. The facility will be cited for deficiencies regarding Reporting Requirements to the licensing agency. Exit interview conducted, a copy of this report was provided to the facility.