Facility Evaluation Report

Licensing Program Analyst (LPA) Alberto Lopez made a subsequent visit to continue investigation and deliver findings for the for complaint 28-AS-20230922133247. LPA met with Staff Jose Deleon, and Administrator Lydia Pabion arrived a few minutes later and assisted with the visit.

During the investigation for the complaint mentioned above, the department discovered that facility had three (3) other deficiencies.

1) The facility failed to report to the department all the incidents the resident refused wound care to the department and other parties including resident's doctor.

2) The facility falsified records. S2 wrote in resident's record that wound care was provided on more than one occasion and both S1 and S2 both admitted to the department was not actually done.

3) Medical assessment was not in file for R1 prior to admission to facility.

Deficiencies cited on 809D, copy of report, 809D and appeal rights provided.