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13 | Licensing Program Analyst (LPA) Kimberly Lyman conducted an unannounced complaint visit to deliver findings on the above allegation. LPA was greeted and granted entry into the facility and explained the reason for the visit.
During the course of the investigation, LPA interviewed staff and witnesses as well as reviewed and obtained pertinent documentation such as physician report. Regarding the allegation that staff did not seek timely medical attention for resident, the investigation revealed the following: Resident 1 (R1) admitted into the facility on 03/27/2024 with a diagnosis of Parkinson's Disease. Resident was hospitalized at Kaiser prior to admittance into facility. When resident admitted into the facility, Kaiser failed to provide medication/ medication orders. Facility and family were working on getting the situation remedied. On 03/29/2024, R1 was observed by staff on the ground by the resident's bed in the resident's room. Staff assisted getting the resident up and was assessed to have no injuries. Three out of three staff confirm no injury on resident. Due to the resident missing medications, the resident was agitated. Per interviews conducted with Administrator and family, resident was sent out for agitation and confusion later that day, CONTINUED ON LIC 9099C DATED 4/16/24 |