Facility Evaluation Report

Licensing Program Analyst (LPA) Sabrina Calzada arrived unannounced to conduct a case management inspection following (3) incident reports submitted to the Department for resident (R1). LPA met with Janeyn Kelly, Administrator, and explained the purpose of the inspection. Also present were staff, Jhamil Espino, Jacob Espino and Hazel Polig. LPA was advised that (R1) was currently attending a medical appointment outside the facility and there were (4) residents present. LPA and the Administrator discussed the following incidents where (R1) was sent out for emergency treatment, and documentation was reviewed.

On May 24, 2026 (11:00 pm), (R1) called staff for assistance after blood was coming out of a dialysis shunt on their left arm. The administrator applied direct pressure and immediately contacted 9-1-1. (R1) was transported to the emergency room (11:15 pm), returned to the care home on May 25, 2026 (8:00 am) and was able to go to their scheduled dialysis appointment (8:35 am) that same day. (R1) will continue to receive care from dialysis and home health nurses, and the facility will monitor for any signs of bleeding.

On May 26, 2026 (3:45 pm), (R1) called for staff assistance after falling on the floor, trying to reach for a paper, and complained of pain in their hands/wrists. (R1) was taken out (4:15 pm), for further medical evaluation and medications review related to new medications prescribed for a skin rash. (R1) returned the same day (8:40 pm) with a new order for pain management and to taper Gabapentin. No fracture was found. (R1) was advised by hospital staff to continue with routine scheduled dialysis (3 times weekly).

On May 27, 2026, (R1's) dialysis session was not completed due to a blood clot on their AV shunt. (R1's) primary care physician and pharmacy recommended to increase Eliquis dosage; however, (R1) declined due to side effects.