Facility Evaluation Report

LPA Campbell visited the facility for the first time on 05/14/24 at approximately 12:30 pm to clarify two incident reports written on 05/10/24 about a blood transfusion performed for a resident.

Incident reports were written regarding R1. R1 is a diabetic and has difficulty being understood due to their throat being injured as a child. LPA Campbell reviewed R1's 602 and discharge paperwork

R1 had fallen twice at the facility and on 05/10/24 R1 fell at the day program. At that time, the day program staff had R1 see his primary doctor at the Central Valley Pace Day Program and Health Clinic for a health examination. PACE called the facility to report the fall while R1 was examined on 05/10/24 by his primary physician who also works on the premises. After R1 left PACE, discharge paperwork was provided to the facility.

PACE then referred him to Doctor’s Medical hospital for further examination. After leaving Doctor’s Medical on 05/10/24, R1 received a prescription for a multivitamin. That same day, Dr. David Dunitz with PACE reviewed R1’s medical records with Doctor’s Medical and then requested that David return to Doctor’s Medical hospital for further observation and for a blood transfusion. R1 remained at the hospital from 05/10/24 to 05/14/24 and will be returning this date on 05/14/24.