Facility Evaluation Report

On 2-22-22 at 12:15pm, Licensing Program Analyst (LPA) Michael Bilger arrived unannounced to conduct a case management visit for an incident which occurred on 2-14-22. LPA met with Program Administrator Augusta Osayande and explained the purpose of the visit. LPA reviewed incident report, facility's program design, staff training material, and interviewed program administrator. On 2-14-22, an incident occurred at the facility which required first aid attention for Resident1 (R1). Based on interview and record review, it was determined that a small amount of blood was noticed on R1's tube feeding site on 2-14-22. It was further determined that R1 was scratching the area which led to the bleeding, and blood was not coming out of the tube directly. Staff rendered standard first aid for R1 until R1 was picked up by responsible party. Staff present during the incident have current first aid and tube feeding training in place to recognize signs and symptoms of infection and emergency response. Tube was not separated from R1 during the incident and required only cleaning. No discomfort of R1 was observed based on interview and was back in program the following day. It was determined that appropriate response to this incident took place.

As a result of this case management visit, no deficiencies were cited. An exit interview was conducted with Augusta Osayande and a copy of this report was left with Augusta.