Facility Evaluation Report

On this day, Licensing Program Analyst (LPA) Kevin Saborit-Guasch conducted a case management visit for the purpose of citing a deficiency observed during the investigation of complaint reference # 22-AS-20240103133808. LPA was greeted and granted entry by facility staff after introducing himself and explaining the purpose of the visit.

During the investigation, multiple interviews confirmed that on an unspecified date, resident R1 had sustained a fall while being placed in a shower chair, either during or directly after toileting care was provided. The fall resulted in bruising which may have been amplified or increased by the fact that R1 was administered blood thinners prescribed by their physician. The fall incident was not reported to the Department at the time as required.

One Type B citation is issued on the attached form LIC809-D.

An exit interview was conducted and a copy of this report along with appeal rights were provided to a facility representative.