Facility Evaluation Report

Licensing Program Analyst, LPA, Noel Wolf Petersen arrived unannounced to conduct a case management regarding an incident that occured at Jewell Home Care, the staff had noticed some facial bruising on a client on sunday 10/26/25 that exacerbated into a concerning size and shape by monday 10/27/25, which was reported by a Home Health Aid working for A Plus Prime Care Hospice, INC, a hospice agency, on the 10/28/25 tuesday. Police were called out and Adult Protective Services moved the client. Jewel Home Care is a 6 bed facility for the elderly that includes dementia support with a maxiumum of 3 residents on hospice, there are currently 1 residents with hospice, one has wound care, and 2 non ambulatory residents.

LPA Wolf Petersen asked for any documentation regarding the incident in hospice care notes, The facilitiy internal care notes. Document review for the facility internal care notes is sparcely detailed, but indicates that some bruising appears to be recognized in a timing pattern that coincideds with a bathing service performed by a Home Health Aid working for PrimeCare from september on to the present.

Interview with the staff does not indicate that they were trained to document changes in status(i.e. bruising), while they are up to date with mandatory training hours and topics of general rcfe care, care specific to hospice clients, and care specific to dementia clients. All staff interviewed denied interacting with the client in a way that would be consistant with the griping of the face pattern of bruising that was observed. All staff interviewed note not being concerned with the bruising until monday morning, and while concerned they decided not to contact the hospice care agency for a variety of reasons,(the hospice nurse will be coming out the next day, the hospice nurse is not willing to do anything)