Facility Evaluation Report

On 06/16/2024 at 01:20 PM, Licensing Program Analysts (LPAs) David Doidge and Andrew Christy conducted an unannounced Case Management visit regarding an incident that was reported to CCLD on 06/15/2025. LPAs met with Zinnia Koch, Director of Wellness and Assisted Living (DWAL) and explained the purpose of the visit.

Facility submitted a UIR to CCLD for a resident that reported staff were rough while assisting with using bedside commode. Resident's son reported incident to DWAL who then created the UIR. DWAL stated as resident was transitioning onto commode,resident accidentally sat on hand causing a skin tear on left thumb. Skin tear was cleaned and band-aid applied. Resident could not remember the incident occurring when staff interviewed resident. LPAs interviewed resident. Resident could not recall how the skin tear was caused, but thought it was from staff. Skin tear is about a centimeter long not deep on inside of thumb. LPAs got resident to remove old band-aid to look at it. Wound was then cleaned and re-bandaged. Staff involved has been placed on leave while DWAL investigates, as procedures.

LPAs collected the Physician’s Report (602), Appraisal Needs and Services (ANS), and face sheet for resident listed on the Unusual Incident Report (UIR).

Exit interview conducted and a copy of this report was provided.