Facility Evaluation Report

03/30/2022 12:00 PM Licensing Program Analyst (LPA) Rebecca Knight arrived at the facility unannounced to conduct a case management investigation. LPA met with administrator Dawn Jackson 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. 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 03/28/2022, concerning incidents that occurred on 03/26/2022 and 03/27/2022 in which it was reported that a client had three unwitnessed falls within a 26 hour period.

LPA reviewed the following documents: Client's Physician's Report, and IPP. Review of resident's Physicians Report revealed they are ambulatory and have no motor impairment issues. Client states they have "bad knees."

LPA toured facility and inspected the bathroom where the client states they fell. There were no obstructions or trip hazzards noted.

Administrator stated client had no prior falls. When the client moved into the facility in May 2021 the client was attending physical therapy for unknown issue until June 2021 but the order was discontinued by the client's doctor. As a result of the recent falls the client was taken to urgent care on 3/29/2022 and was prescribed ibuprofen as an anti-inflammatory and referred to physical therapy.The client starts physical therapy on 04/01/2022. The administrator is calling the client's primary care doctor every day to schedule a follow-up but has not received a return call.

No deficiencies were cited during today's visit. An exit interview was conducted, and a copy of the report was emailed to administrator Dawn Jackson.