Facility Evaluation Report

Licensing Program Analyst (LPA) Wendell Smith conducted an unannounced case management visit due to a self reported incident sent in by the facility on 8/31/22. LPA met with the administrator and explained the reason for this visit.

Incident report was received regarding resident # 1(R1) being seen on 8/24/22 and 8/25/22 by LVN and home health aid. On 8/26/22 administrator received a phone call reporting skin changes for R1. R1 was then assessed by facility staff and no skin changes were noted. On 8/30/22 Law Enforcement came to the facility to investigate a report of suspected elder abuse regarding R1. R1 was interviewed and observed by Law enforcement and a report was made to Adult Protective Services(APS) by with a conclusion of no suspected abuse. LPA reviewed outside agency documentation of the visits made by the LVN and home health on 8/24/22 and 8/25/22. On the notes it was noted by both that there were no changes and skin was intact. It also stated that R1 was being well taken care of. LPA also obtained copy of communication from Law Enforcement regarding their visit and that no suspected abuse was found. LPA also received pictures of R1. LPA was not able to interview R1 due to R1's medical diagnosis. Facility still decided to have an in-service with staff regarding being a mandated reporter and reporting changes in condition. LPA recieved a copy of the sign in sheet Based on the information obtained through interviews and documentation no further action is necessary.