Facility Evaluation Report

This unannounced case management visit is being conducted by Licensing Program Analysts (LPAs) Ruth Martinez and Nancy Guillen to follow up on incident reported to Community Care Licensing. LPAs met with Patricia Miller, Executive Director and explained the nature of the visit.

Incident report dated 1/13/26 for an unwitnessed fall involving resident R1. R1 was on the phone with their spouse when they had a fall. Spouse immediately called the front desk, and staff was sent to check on R1. R1 was found on the ground in their side by the foot of the bed. R1 was unable to recall the event only when they fell out of bed. R1 complained of no movement to right leg. Staff immediately called 911 and were transferred to hospital for evaluation. At hospital R1 was noted with an injury, had surgery and was sent to a skilled nursing facility. Upon return to facility R1 was re-assessed and moved to a different wing of the facility that requires more care and supervision. R1 has in house physical therapy and now has had a change of level in care. R1 was observed at the time of visit to be clean, well dressed and in good spirit. LPAs obtained copies of pertinent documents.

LPA found that facility acted appropriately and in a timely manner to address the incident and all other immediate attention to incident in question. LPA did not observe any immediate and/or safety risks in or out of the facility.

Based on the observation made during today's visit, no deficiencies were noted today per Title 22 Division 6 of the California Code of Regulations.

This report was reviewed with Executive Director and a copy of this LIC809 report was provided and left at the facility.