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25 | Licensing Program Analyst (LPA) Cuadra arrived unannounced to conduct a Case Management Inspection and met with Kasandra Guerrero, Administrator. During today's visit LPA is following up on four incident reports received at CCL on 3/11/24.
The first incident report was reported to CCL on 2/26/24 via email. Per incident report, on 2/26/24 at approximate 12:30pm resident (R1) was observed coughing and being slight short of breath, staff contacted R1's physician who advised them to bring R1 to the emergency room for further evaluation. Responsible parties were notified including CCL. R1 was discharged on 2/28/24. Per interviews conducted with staff, LPA was told that the facility conducted testing for Covid-19 to all residents, but the results were negative. Based on discharge documents, R1 was treated for acute on chronic hypoxemic respiratory failure due to another COPD exacerbation and had a follow up appointment with their physician to discuss further treatment.
Second incident report was reported on 2/26/24 via email. Per incident report, on 2/26/24 resident (R2) was also observed having shortness of breath and coughing a lot, R2's physician also advise the staff to transport R2 to the emergency room for further evaluation. Responsible parties were notified including CCL. R2 was discharged on 3/3/24. Based on records review provided to LPA during the visit, R2's discharge documents indicates that they were treated for respiratory failure, recurrent pleural effusion, possible pneumonia and acute kidney injury with some medications were discontinued and others were adjusted. R3 had a follow up appointment on March 8, 2024 to discuss further treatment.
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