Facility Evaluation Report

Licensing Program Analysts (LPAs) Kesha Lewis and Albert Johnson conducted a case management visit as a result of the incident that took place on November 8, 2022. LPA met with the facilities Administrator and explained the purpose of today's visit.

The department received an incident report detailing that R1 was given an extra dose of Seroquel 25mg this was a PRN medication and was not listed on the Admissions Orders dated 3/10/22 which contains the PRN information with instructions from R1’s primary care physician. LPAs were unable to review a current PRN letter for R1, because the facility did not have a current PRN letter for R1.

During the file review of R1, LPA'S observed that R1 was being treated for rash that was later identified as scabies, (SIR) Special Incident Report was not sent to CCL until 10/04/2022. Rash first identified on June 30, 2022 treatment was given, however unsuccessful and on 8/15/2022 the facility contacted R1's primary physician and started treatment for the rash again. This was also unsuccessful. On 9/28/222 the facility took R1 to urgent care and was given the diagnoses of Scabies. The facility then reported to the Department on 10/4/22

The following deficiencies were cited on 809-D, per Title 22 Regulations, Division 6.

Exit interview and copy of report provided, appeal rights given.