Incident investigation·September 1, 2022

Licensing Program Analyst (LPA) Hansen arrived unannounced to conduct a Case Management inspection and met with Administrator Stacy Vermeulen & Health and Wellness Manager (HWM) Tracy Nava. The purpose of this case management inspection is to follow up on two self reported incident reports submitted to Community Care Licensing (CCL). LPA entered the facility and was screened at front desk with log in, COVID questions, and temperature checked. LPA is following up regarding a self reported Incident Report received on August 29, 2022 regarding resident (R1), who was found on floor next to bed on a routine two-hour safety check. R1 was very confused and combative and was sent out to Hospital. This was R1’s second incident, first was 7/31/2022 when R1 was returning to apartment after lunch. Staff (S1) found R1 on the hallway floor unresponsive with a pump/bruise on forehead bleeding. R1 was sent to hospital. LPA obtained documents and requested at return of R1 to facility, submit additional documentation and continue with two hour safety checks. No deficiencies cited during this inspection.