Incident investigation·July 27, 2022

Licensing Program Analyst (LPA) Arielle Pascua and Licensing Program Manager (LPM) Stephenie Doub arrived at this facility on 07/27/2022 at 12:15 pm to conduct an unannounced case management visit. LPA Pascua and LPM Doub met with Maria Castillo-Padilla and explained the purpose of today’s visit. The purpose of today’s visit is to follow up on an incident report received on 07/21/2022. The report stated that on 07/17/2022 at 19:14, R1 became unresponsive during a bed tranfer. Staff called 911 and CPR was initiated while on the call with 911. LPA Pascua and LPM Doub obtained R1's Physician report and facility records. Based upon interviews and facility records there were no deficiencies that were cited during this case management visit. LPA Pascua will come at a later time if further follow up is needed. A copy of this report was provided to the facility and an exit interview was conducted.