Incident investigation·September 16, 2022

Licensing Program Analyst (LPA) Martha Arroyo conducted an unannounced Case Management – Incident visit at the above facility at 9:30 a.m. The LPA met with Administrator, Cilva Toume and explained the reason for the visit. The purpose of this visit is to investigate an incident report submitted to the Department by the facility regarding Resident #1 (R1) refusing all his medication for two (2) days. Entrance interview. During today’s visit, the LPA conducted a plant tour to ensure there are no immediate health and safety concerns. At 9:35 a.m., LPA attempted to speak with R1; however, R1 refused to open the door and speak with anyone. An interview was conducted with one staff at 9:20 a.m., and with the Administrator at 10:20 a.m. At 9:50 am., the LPA conducted a resident file review and obtained copies of pertinent documents. At 10:03 a.m., LPA called R1’s Pain Management Physician (PMP) and spoke with the Office Manager. PMP will call LPA at a later time. Exit interview conducted. A copy of the report was emailed to the Administrator.