Facility Evaluation Report

On this day, Licensing Program Analyst (LPA) Jaime Vado conducted an unannounced case management visit in regards to the facility accepting and retaining a resident with a Stage 3 pressure sore. LPA met with manager Tessa Marie Yee and explained the purpose of today's visit.

According to a verbal report made by an outside agency on 01/27/2023 the department discovered that the resident was accepted at the facility on 01/22/2023. The facility retained this resident without the approval of an exception request. The facility did send an exception request on 01/20/2023 but did not wait for department approval of the exception request. The resident received home health services while in the facility for the duration. The resident started hospice on 01/27/2023 according to the licensee.

Due to the facility accepting and retaining a resident with a stage 3 pressure sore without an approved exception, there has been a violation of Title 22 regulations. Citations are issued on attached LIC809D pages.