Facility Evaluation Report

On 3/29/2022, Licensing Program Analysts (LPA) Murial Han conducted an unannounced case management visit to follow-up on a complaint investigation. LPA Han met and explained the purpose of the visit with the assistant administrator, Siobhan Surracao while the administrator, Freddie Fullon was busy at the moment then the administrator took over and assisted with the rest of the visit.

The Department investigated allegations under complaint # 14-AS-20210913142555, regarding a resident sustaining a fracture while in care; facility refusing to accept resident back to the facility; and facility failing to report/provide information to the injured resident’s family.

During the course of investigating the allegation of the resident sustaining a fracture while in care, there was a caregiver (identified as S1 in complaint 14-AS-20210913142555) who was with the resident #1 (R1) prior to the resident being removed by emergency personnel. Upon arrival to the hospital, R1 was found to be suffering of a right shoulder fracture, spleen laceration, and left buttocks bruising consistent with traumatic injuries. S1 has failed to cooperate with the Department investigation.

During the course of investigating the allegation, the department asked the administrator to provide camera footage to the Department to determine who was with the resident when the paramedics arrived, and who could had been present before removal of the resident by the paramedics. The administrator failed to provide the actual footage despite numerous requests to do so.

A resident went to the hospital early in the morning of 8/31/2021. After a stay at the hospital for couple of weeks, the resident was discharged back to the facility on 9/9/2021. According to the administrator and the resident service director, R1 was readmitted with health conditions and needs that were not previously required and the facility was not capable of caring for R1 under these new health conditions. Therefore, the administrator gave R1, as only options, to stay as long as R1’s responsible party hire a personal skill professional to care for the resident, or to have R1 transferred back via ambulance to the hospital.