Incident investigation·October 14, 2022

Licensing Program Analyst (LPA) Hansen arrived unannounced to conduct a Case Management inspection and met with Licensee Darmi Patel & staff Pamela Lopez. LPA is following up regarding a self-reported Incident Report received on October 10, 2022 regarding an incident that occurred on 10/9/22 at 3:40 am where resident, R1 slipped and fell while getting out of bed. According to caregiver R1 then got up and used the bathroom, stated is fine and caregiver helped R1 back to bed. Later that morning R1 was observed with bruising on right side of head. The following day R1 was feeling weak and dizzy and refused breakfast. Appropriate parties contacted and R1 went to the hospital. No other details were provided. LPA was unable to contact facility and has since obtained other contact information. During today's inspection LPA obtained discharge documents and was informed R1 was brought back to the facility same day as incident with no concussion or restrictions and no change in care or hospice recommendation. No deficiencies cited during today's inspection.