Facility Evaluation Report

On 12/14/23, Licensing Program Analyst (LPA) Kevin Mknelly, met with facility staff to conduct a case management visit.

LPA was following up on an incident report received by the department on 12/12/23. The report was regarding a hospital visit for R1 on 12/7/23.

LPA conducted a records review regarding R1. Records found that R1 was admitted to this facility on 10/25/23. Discharge instructions from the referring hospital identified R1 as having wounds that require daily ongoing wound care.

Between 10/25/23 and 12/7/23 R1 did not receive home heath wound care ar the facility.

As a result of this investigation, LPA finds allegation to be (S) Substantiated - A finding that the complaint is Substantiated means that the allegation is valid because the preponderance of the evidence standard has been met. The following deficiencies were cited on 809-D, per Title 22 Regulations, Division 6. (A)This poses an immediate Health and Safety risk to clients/residents in care. (B) This poses a potential Health and Safety risk, or personal rights violation, to clients/residents in care.

Report reviewed. Copy of report and appeal rights provided