Incident investigation·September 14, 2023

Licensing Program Analysts (LPAs) Cuadra and Coppo arrived unannounced for the purpose of conducting a case management to follow up on self-incident report and met with facility Administrator, Nick Aquino. LPA is following up on self-incident report filed by the facility Administrator to CCL on 9/8/23. Per incident report, On 9/5/23 around 9:45 am resident (R1) went to the clinic and complained about breathing problem. Clinic staff called 911 immediately and transport them to the Hospital. R1 was admitted to the hospital for further evaluation and discharged on 9/7/23 with a diagnosed of COPD exacerbation and SOB (shortness of breath). During today's visit, LPA reviewed R1's records including their care plan, Physician's Report (LIC602) and discharge documents dated 9/7/23 with no follow up appointment needed with their Physician. LPAs reviewed documents and determined that the Administrator has taken appropriate measures to address the incident. Exit interview conducted with Administrator and a copy of this report was given. No deficiencies cited during today's visit.