Facility Evaluation Report

Licensing Program Analyst (LPA) Cuadra arrived unannounced to conduct a Case Management Inspection and met with Licensee, Nick Aquino. LPA conducted risk assessment call with Licensee prior to visit. LPA arrived at the facility and had her temperature checked and was logged into a sign-in sheet. However, the staff did not ask any of the screening questions to LPA. Licensee and LPA discussed the importance of screen visitors.

LPA is following up regarding five incident reports received involving resident (R1) had trouble breathing. On 6/2/21 R1 complained about difficulty breathing and was transported to Santa Rosa Memorial Hospital. R1 and was diagnosed with Dyspnea and was prescribed new medication Prednisone 10mg for 4 days. R1 is a heavy smoker and was instructed to limit cigarette intake and responsible party agreed with Administrator to reduce the amount of money from $60 to $30 for cigarettes. On 6/7/21 R1 was having trouble breathing and was transported to Santa Rosa Memorial Hospital. Administrator agreed with responsible party that no more money was going to be provided to R1 until their smoking habit changes. On 8/1/21 R1 had trouble breathing and was transported to the hospital were received a diagnosis of Emphysema. R1 smokes an average of 3 packs of cigarette per day and responsible party provided Lozenges to help with smoking issue. R1 on 8/5/21 had a hard time breathing and received an increase of medication Prednisone 50mg tablet and azithromycin 250 mg tablets for Chronic Obstructive Pulmonary Disease. Once again on 8/11/21 R1 was transported to the Hospital due to difficulty breathing and no new or adjusted medication order was prescribed. According with Licensee, Facility has developed a plan to help R1 to quit smoking.

LPA also discussed with Licensee the importance of update R1's care plan to include recent diagnosis and make sure that the facility can provide the care and supervision that meets resident needs. As of today, R1 has not experienced any incidents. Licensee mentioned to LPA Facility is working with resident's responsible party and case worker to help R1 to quit smoking.