Facility Evaluation Report

Licensing Program Analyst (LPA) De Leon conducted a Case Management- deficiency visit to the facility above. LPA met with Administrator, Rebecca Michel and explained the purpose of the visit.

LPA De Leon reviewed an incident report sent to Community Care Licensing (CCL) by the facility above. The incident report dated 07/26/2023 was regarding Resident 1 (R1) reporting at 8:00 pm R1 had a large new bump on left ankle, Staff 1 (S1) called Administrator and sent a picture. Hospice was contacted and facility was instructed to ice and elevate, and Hospice would be out in the morning to check on R1. At 12:30 am S1 noticed the bump had tripled in size sent another picture and called Administrator. Hospice was contacted again, and Hospice staff left VM with the Hospice on call doctor. The Hospice Nurse arrived at the facility at 2:05 am checked on R1’s leg and attempted to call the Hospice on-call doctor again leaving another message. Hospice Nurse administered medications to R1 for R1’s discomfort. S1 checked on R1 again at 3:30 am and 5:00 am noting R1 was sleeping. Hospice Nurse called the facility at 5:00 am stating the Hospice on-call doctor directed R1 to be taken by ambulance to the hospital. Administrator arrived at the facility at 6:00 am and at 6:15 am the bump on R1’s leg had opened, R1’s leg was wrapped several times to stop the bleeding. Paramedics arrived at 6:45 am and R1 was taken to French Hospital ER and was later discharged back to the facility around 11:00 am.

LPA De Leon requested copies of R1’s Hospice Care Plan, R1’s hospital discharge paperwork and the photos that had been taken of R1’s leg/ankle. LPA De Leon received all the documents requested and reviewed all documentation sent.