Facility Evaluation Report

Licensing Program Analyst (LPA) De Leon conducted a case management incident visit to facility above. LPA met with Administrator and explained the purpose of the visit.

LPA received a call from the facility Administrator stating R1 had a change of condition on 09/03/2025 and was not walking in R1's normal way, Administrator made a doctors appointment for 09/03/2025 and the doctor ordered Physical Therapy (PT) 2 x per week, a gait belt and a return visit in 2 weeks to see the doctor if R1 was still not walking normally. PT visited on 09/04/2025 and worked with R!1. On 09/08/2025 Administrator took R1 to the emergency room because R1 could not bear any weight. Administrator stated to the nurse that it seemed to be coming from R1's knees or legs the way R1 was standing was not normal for R1. The ER did testing and x-rays but did not do one of R1's knees the ER checked R1's tailbone, hips, and pelvis area only and found no injuries and discharged R1 back to the facility. On 09/10/2025 R1 was seen by PT again, working on walking, stability and strengthening of R1's legs, On 09/11/2025 Administrator had a phone call with primary care physician for R1 regarding R1 could not walk or hold R1's weight, Physician provided a referral for R1 to go to a Skilled Nursing Facility (SNF) for rehabilitation, as the home is an Ambulatory home only. The same day R1 had PT again. Administrator called all SNF's to see if they would do an intake for the referral. Administrator was told that the only way they can accept R1 was from a ER/hospital referral.