Facility Evaluation Report

Licensing Program Analyst (LPA) Salia Walker conducted a Case Management - Deficiencies visit in conjunction with a complaint visit (Complaint Control #29-AS-20220124092223). LPA Walker met with

Administrator Evelina Papazyan. The purpose of the visit is to issue citations for deficiencies observed during the complaint investigation.

During the complaint investigation of complaint #29-AS-20220124092223, Investigator Santana observed the following deficiencies:

The facility was aware that R1’s pressure injuries were worsening, but did not have a level of care meeting to discuss the change of condition with the resident, staff, and home health agency.

R1’s Reappraisal was not updated to reflect the change of condition that R1’s pressure injuries were worsening and R1’s refusal to reposition self and follow the Home Health care plan.

Citations issued, exit interview conduct, copy of report and appeal rights issued.