Incident investigation·March 4, 2024

Licensing Program Analyst (LPA) Jason Lund arrived unannounced to conduct a case management visit regarding a incident reported to the department on 2/23/2024. LPA Lund was met by Administrator Carlin Robertson and explained the reason for the visit. Census:55 LPA Lund reviewed Resident (R1) Unusual Incident/Injury report dated 2/23/2024 which stated that R1 had a witnessed fall. The facility called hospice and then called 911. R1 was taken to the hospital from 2/23/2024 and returned on 2/25/2024. The facility is doing ½ checks on R1. The facility does have a fall plan in place for R1. R1 will continuing to have hospice which comes twice a week at this time. The facility has scheduled training on how to do proper changing procedures with residents in care. No deficiencies were observed or cited at this time. Exit interview. Copy of report and appeal rights given.