Facility Evaluation Report

Unannounced case management visit conducted on 11/21/2024 by Licensing Program Analyst (LPA) Charlie Yang who was met by the facility designated Administrator Jose Ventura.

The purpose of this case management visit was to follow up from a complaint investigation that was conducted involving a resident sustaining an injury while in care.

After the investigation was conducted, with a review of the evidence that was obtained, this facility was found to be "Unsubstantiated" for the following allegation:

Neglect/Lack of Care: Due to staffs' neglect, resident sustained multiple fractures.

In addition, this case management visit was conducted to follow up, with quarterly visits, and inquire about the requirements that were laid out from the office meeting for the non compliance conference which took place on 03/04/2024.

The following items were required to be maintained in compliance while this facility was under increased monitoring with quarterly visits:

Uphold all Personal Rights of the Residents

Maintain and conduct Personal Rights training and verification for new and existing employees

Facility designated Administrator must maintain oversight of facility staff for proper care and supervision

Make sure that this facility is following all Reporting Requirements

Updating policies and procedures for resident fall risks

Make sure that facility staff are always seeking timely medical attention

Update and maintain Needs/Appraisal Training for all staff

Maintain and train all care staff on proper documentation for the facility Communication Log

There were no deficiencies observed or cited during today's case management visit. Exit Interview