Facility Evaluation Report

Licensing Program Analyst Leibert arrived unannounced for the purpose of following up on additional information obtained subsequent to findings made on a complaint received on July21, 2022 and closed on September 22, 2022 as Unsubstantiated. Further review of statements and recently acquired medical records indicate that facility staff noted a sore on R1 on 7/12/2022; that the Administrator requested a nurse visit and Hospice Care for R1 on 7/13/2022; Hospice was approved but due to staff issues and/or, Covid outbreaks or other unidentified reasons, Hospice was not able to do an assessment timely. Medical attention for R1 was not provided until R1 was sent out for treatment on 7/20/20. Upon admittance to medical facility, R1 was diagnosed with stage ll/III pressure injuries.

The following deficiencies were observed (see LIC 9099D) and cited from the California Code of Regulations, Title 22, Division 6 of California Regulation. Failure to correct the deficiency and/or repeat deficiencies within a 12 month period may result in civil penalties. Exit interview conducted and appeal of rights provided.