Facility Evaluation Report

During the investigation into complaint control number 22-AS-20230303155354 it was discovered the facility forgot report when Resident 1 (R1) was hospitalized.

While investigation the complaint control number above, it was discovered and confirmed R1 was sent to the hospital at least three times. Document review revealed R1 was sent to the hospital more that three times and no incident reports were sent to the Regional Office.

There was also an uncleared and unassociated individual present when LPA Haley arrived to deliver findings on the complaint control number above. Executive Director (ED) Mendoza confirmed the individual was being screened for possible employment and only been working a couple days.

As a result of today’s Case Management visit, deficiencies will issued.

An exit interview was conducted and a copy of this report and appeal rights were provided.