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25 | Licensing Program Analyst (LPA) Sabrina Calzada arrived unannounced to conduct a case management inspection and met with Nekia Xavier, LVN Health and Wellness Director, Mike Talani, Administrator, and Lance Ramos, Memory Care Director. LPA stated the reason for the inspection was to obtain additional information on several incident reports recently submitted to the Department.
(R1) had an unwitnessed fall on 3/2/24 in her room and was sent to the hospital due to complaints of pain in her right leg/hip. Resident remained in the hospital until on/around 3/6/24 when she was transferred to a skilled nursing facility for physical therapy. Staff stated resident was not a fall risk and this was a first fall. Prior to resident returning, an updated care plan will be completed.
(R2) was sent to the emergency room on 2/23/24 due to showing flu type symptoms. Resident had a pacemaker installed and was sent to a skilled nursing for rehab services following surgery. Resident will be reassessed prior to returning to the community and the care plan will be updated upon return.
(R3) had a new medication order approved before the medications arrived. Staff inadvertently noted that the resident had received the medication when the resident had not. A note was later made in resident's file that the medication was not received, as indicated, and an in-service training was completed on correct medication documentation. This same medication was then discontinued 1-2 days later.
(R4) was sent to the emergency room on 2/20/24 due to a wound on resident's right lower leg to appear to be worsening. Resident was treated for cellulitis and returned the same day to the community. Resident was receiving home health services and wound care treatment was added following the hospital stay. Resident was receiving assistance with showers prior to going to the hospital. Resident is being considered for hospice care due to other diagnoses.
**cont on 809C |