Facility Evaluation Report

During the investigation into complaint control number 22-AS-20230825151110 it was discovered the facility failed to report the fall and/or injury to the Regional Office.

All serious incidents should be reported to the Regional Office within 7 days. Beach Terrace Memory Care failed to report a resident was sent to the hospital after an unwitnessed fall with complaints of pain to the back and neck. The resident returned to the facility on August 25, 2023, with a diagnosis: Injury Due to Fall – Cervical (Neck) Vertebral Fracture.

There was no incident report regarding Resident 1’s fall August 23, 2023, sent to the Regional Office.

As a result of today’s Case Management visit, a deficiency will be cited.

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