Facility Evaluation Report

This is an amended report, dated 10/5/21. The original report was created on 5/22/19.

Licensing Program Analyst (LPA), Jonathan Pineda made an unannounced visit to conduct a case management visit regarding an unusual incident report submitted to CCL on 5/7/19 by the licensee. LPA identified himself and was granted entry into the facility by Laura Eckert, Administrator

It was reported that on May 8, 2019, resident (R1) was found lying on his back on the floor next to his bed. Resident was evaluated and sent to Tri City Medical Center by ambulance where R1 was diagnosed with a hip fracture. Based on observation, interviews, and record review, LPA did not observe any culpability.

No deficiencies were cited during today’s visit.

This report was discussed and a copy along with Licensee Rights (01/16) was provided to Laura Eckert.