Facility Evaluation Report

In conjunction to Complaint Control # 31-AS-20241216111437, Licensing Program Analyst (LPA) Michael Cava conducted a Case Management (CM) visit to issue the following citation. Complaint investigation pertaining to this complaint control number reveal that the licensee retained Resident 1 (R1) with an Unstageable Pressure Injury (PI). Although hospice care was initiated to treat this Unstageable Pressure Injury, pursuant to Title 22, Licensees can request an exception under Program Flexibility to continue to provide care and supervision to a resident. LPA Cava conducted a review of facility file, and did not locate an exception to retain R1. Moreover, interview with the administrator confirm an exception was not submitted to the licensing agency. Therefore, based on this confirmation, a citation will be issued on an 809D. Administrator advised and a copy of this report issued.