Follow-up·June 21, 2021

Licensing Program Analyst (LPA) Joanne Roadilla conducted an unannounced Case Management visit at the facility today. The facility is licensed to serve 6 residents 60 years and over, 5 may be non-ambulatory and 1 may be bedridden. The facility has been granted a hospice waiver for two (2). LPA met with Administrator (ADM) Angelina Escobar and discussed the purpose of the visit. On 06/08/21, ADM submitted a request to retain a resident (R1) who has been diagnosed as bedridden and with an unstageable pressure injury. On 06/20/21, ADM sent an updated request to include that R1 is dependent on others for all activities of daily living. At 2:00PM, LPA observed R1 in bedroom #5. LPA observed that R1 is not able to reposition and is bedridden. LPA also observed that R1 was able to eat without caregiver assistance. At 2:30PM, LPA reviewed R1's files including physician's reports (LIC602A), appraisal/needs and services plan (LIC625) and functional capability assessment (LIC9172). Per R1's most recent physician's report, R1 is dependent on all activities of daily living and is non-ambulatory. LPA requested a copy of R1’s LIC625 upon admission and a copy of R1’s updated LIC602A which should indicate that R1 is bedridden for the purpose of fire clearance. No deficiencies cited during today's visit. Report was discussed with and a copy provided to Angelina Escobar.