Facility Evaluation Report

Licensing Program Analysts (LPA) Kesha Lewis arrived at the facility unannounced for the purpose of conducting a case management incident inspection regarding incident reports received dated 2/11/2025 for incident that happened in on 02/05/2025. LPA explained purpose of visit to the administrator.

The incident reports were regarding a witnessed fall for R1 that resulted in a left hip fracture. LPA reviewed incidents report and Resident records. Facility provided R1'S Physicians report (LIC 602), preplacement, care notes, hospice records, MARS and admissions agreement. R1 has not returned to the facility after 02/05/2025. All reporting was done on time and to the required departments. This matter is still under investigation.

Per California Code of Regulations, Title 22 NO deficiencies were observed and are being cited during today's case management inspection.

An exit interview was conducted and a copy of this report was given.