Follow-up·October 23, 2023

Licensing Program Analyst (LPA) Simi Rai conduced an unannounced case management visit and met with Lead Caregiver, Rose (Rosalia) Calungcagin. LPA Rai stated the purpose of today's visit to assess the facility's request for an exception for R1's prohibited condition. The licensee has submitted an exception request for R1 who is depend on others to perform all activities of daily living . Staff were interviewed concerning R1's care and the requirement of the exception. R1 is not receiving Hospice services at this time. At approximately 8:32pm, LPA Rai observed R1 in a reclined position in bed. R1 was awake and LPA Rai attempted to conduct an interview but R1 did not respond to questions. R1 was not able to move arms, legs or hands. R1 was observed with contractures in the hands and R1 was unable to grab items such as a glass of water or hairbrush. S1 stated the facility staff provide assistance to R1 in all areas of activity of daily living. At this time, the Department is reviewing Licensee's request for the exception for R1. No deficiencies were cited. Exit interview conducted with Lead Caregiver, Rose (Rosalia) Calungcagin. A copy of this report was provided.