Facility Evaluation Report

Licensing Program Analyst Noel Wolf Petersen arrived unannounced 10:45 am to the facility to collect some documents related to a recent complaint and its case management. Met with licensee administrator Monica Plowden, explained purpose of visit.

During the visit, The LPA was provided a home health care plan for the 1 resident who recives home health services.

During the visit, The LPA was provided a drivers license for the person identified as Diane Hace, drivers licance asserts Luvina Addison has the middle name Diane, hace from a current marriage. Luvina Addison is gaurdian associated.

5 residents are currently in the facility, and 5 at the time of the interview in the departments report, LPA confirmed it the same five residents with staff. 1 is reciving hospice care. LPA assessed the other 3 for the ability to turn in their bed, 1 resident is out of the facility currently at the hospiital. The 2 clients observed are able to rotate under their own power. The last client is not able to rotate on his own per the staff stating he does need assistance being rotated and cannot do it himself. LPA observes the Clients is equipped with full bed rails. Doctor signed 602 says nonambulatory, and has a commented section for needing assitance with getting into a electric wheelchair and care for ulceration on the skin(Toe Area). Given the risks of bedcare identified on the 602, the LPA's observation of the weakness in using the bedrails, and the staffs statement he needs assistance with rotating, LPA asserts the client meets the title 22 definition of bedridden, not being able to rotate in bed indepentantly. fire clearance for Jewell Care home is for 6 ambulatory, up to 4 may be nonAmbulatory, none may be bedridden.