Senior Care Records.

Facility Evaluation Report

Villa Marin Ambulatory Care Unit, San Rafael11/08/2022Licence 210108102

Capacity28
Census12
Date signed11/08/2022 02:26:47 PM
The inspector’s account

Licensing Program Analyst Bertozzi arrived unannounced to conduct a Case Management inspection and met with Administrator, Paul Duranczyk.

Facility reported an incident regarding resident, R1. Per report, R1 slid down their wheelchair onto the floor. R1 was assessed and determined to have no redness or bruising but resident did complaint of pain. Resident was x-rayed with negative findings for a fracture. Due to a persistence of pain, resident received a second x-ray which revealed a fracture. Resident did not require 1:1 supervision.

Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction