Facility Evaluation Report

12/072021 10:30 AM Licensing Program Analyst (LPA) Rebecca Knight arrived at the facility unannounced to conduct a case management investigation. LPA met with licensee-administrator David Bortz and explained the purpose of the visit. Prior to initiating the complaint investigation LPA completed required COVID-19 testing protocols, and a daily self-screening questionnaire for symptoms of COVID-19 infection to affirm no COVID-19 related symptoms; contacted administrator and completed a facility risk assessment. LPA ensured they applied hand sanitizer before entering the facility and the following Personal Protective Equipment (PPE) was worn: N95 mask, gloves. Additionally LPA was screened by facility staff.

The reason for the visit is an incident report that was received on 12/03/2021, concerning an incident that occurred on 12/02/2021 in which it was reported that a resident was unable to bear weight on their right side, had a small bruise on their right hip and their upper thigh/hip area was swollen. At the hospital it was determined that the resident had a fractured hip. Resident was admitted to the hospital on 12/02/21 and surgery was performed on 12/05/2021 in which pins were placed.

The administrator stated that the resident will be discharged from the hospital to skilled nursing in order to obtain appropriate physical therapy.

LPA reviewed and obtained the following documents: Resident's Physician's Report, medication list, and IPP. Review of resident's Physicians Report revealed they are non-ambulatory and are able to transfer independently to and from bed and are able to ambulate without assistance.