Facility Evaluation Report

During the complaint investigation of complaint #29-AS-20240118120829, the following deficiencies were observed:

Staff failed to seek medical attention for Resident #1 (R1) in a timely manner. The licensee/administrator and staff reported R1 complained of abdominal and back pain. The licensee/administrator called R1’s resident representative and told them to call an ambulance because R1 was not well. R1’s resident representative came to the facility and observed R1 was in “excruciating pain” and would scream when R1 was moved or tried to move. R1’s resident representative then took R1 to the hospital. Medical records showed R1 sustained a T11 compression fracture. R1 reported Staff #1 (S1) “dropped” R1. The licensee/administrator and staff failed to call 911 or R1’s doctor to seek medical attention for R1.

Staff #1 (S1) advised they were a caregiver at the facility for approximately one week. The licensee/administrator reported that S1 worked at the facility from 01/01/2024 to 01/13/2024. S1 was covering for a caregiver who was on vacation. S1 was fingerprint cleared but was not associated to work at the facility. An Immediate $500 Civil Penalty is assessed today.

A review of the Palermo hospice medical records indicated R1 was placed on hospice care at the facility on 01/11/2024. There is no evidence or confirmation that the hospice notification was submitted to Community Care Licensing (CCL).

Citations issued, Immediate $500 Civil Penalty issued, exit interview, appeal rights given.