Health check·November 13, 2024

On 11/13/24, Licensing Program Analyst Renee Campbell conducted a Case Management visit for R1 who was experiencing a possible medical incident. LPA Campbell met with Licensee Georgia Wilcomb and explained the purpose of the visit. During visit, R1 reported she wasn’t feeling well to Georgia Wilcomb, Licensee. R1 was overheard stating she was worried about the bright blood in her stools but did not want to go to the doctor. Later, a shout of pain was heard from her direction. Licensee Georgia Wilcomb investigated and reported to LPA Campbell that R1 was experiencing abdominal pain and still did not want to go to the doctor. The licensee stated that R1’s primary doctor suggested she go to the emergency room but R1 refused. After speaking with R1, they continued to refused medical intervention. LPA Campbell then suggested that the licensee call 911 for assessment. LPA Campbell observed emergency personnel arriving within 5 minutes at approximately 1:54 pm. Once they arrived, R1 refused to let them assess. Emergency personnel then left after reporting that R1 refused to go to the emergency room or submit to assessment. No documentation was provided to the facility or R1. LPA Campbell suggested that Licensee Wilcomb check on R1 and log her status to ensure she is alert and oriented. LPA Campbell reviewed the LIC 602 for R1. Their Primary Diagnosis is listed as Syncope and Collapse and their Secondary Diagnoses was Hyperlipidemia. R1 is ambulatory, able to leave the facility alone and experiences depression. The licensee was advised to continue checking on R1 to ensure they are alert and oriented An exit interview was held and a copy of this report was left with facility staff. .