Facility Evaluation Report

Licensing Program Analyst (LPA) Kimberly Lyman made an unannounced case management visit to follow up on an incident report received by Community Care Licensing (CCL) on 11/21/2022. LPA was greeted and granted entry into the facility by Executive Director Eric Medor and explained the reason for the visit.

Incident report dated 11/15/2022 indicated a fall alert for Resident 1 (R1) and staff responded. R1 stated falling while using the restroom. R1 was transferred out with a fracture of the left hip, non-operable. Resident was transferred to a skilled nursing and returned to facility on 12/01/2022. Resident returned on hospice due to decline. Physician report dated 01/10/2022 indicated resident was independent with no mental decline. Re-assessment on 11/28/2022 indicated a diagnosis of Dementia. LPA met with R1 and R1's son during the visit. Both verbalized satisfaction with facility services and caregiving. R1 has had a 24 hour care companion since returning to the facility. No falls or issues since return.

No deficiencies noted during today's visit.

Exit interview conducted and a copy of this report was left at the facility.