Facility Evaluation Report

On 08/18/2025 at 12:20 PM, Licensing Program Analysts (LPAs) P.Manalo and and K. Nguyen conducted an unannounced Case Management visit regarding a self-reported incident. Health Services Director self-reported the incident on 07/29/2025. LPAs met with Health Services Director, Brenda Silva and General Manager, Ryan Turner, and explained the purpose of the visit.

LPA received a self-reported incident report from facility that indicated Resident 1 (R1) had an unwitnessed fall and incident report revealed that R1 sustained an avulsion fracture.

LPAs reviewed the following documents such as R1's Physician's Report dated 05/13/2024, Physician's Fax, Report, After Visit Summary, Individualized Service Assessment, and email correspondence between facility and responsible parties.

Interview with Health Services Director stated that the facility and R1's family are in communication regarding R1's care.

Exit interview was conducted with Health Services Director, and a copy of this report was provided.