Horizon Health & Subacute Center
Inspection Findings
F-Tag F600
F-F600].
Findings:
During a review of the document titled SOC341 - Report of Suspected Dependent Adult/Elder Abuse (submitted to the Department from the facility), dated 6/24/24, the SOC341 indicated that on that date between 5 PM and 5:15 PM, Resident 1 was observed in his bathroom yelling. [Mental Health Worker, or MHW] attempted to de-escalate the patient. Resident [1] then pushed [MHW. MHW] responded by pushing patient with two hands on each shoulder causing resident to stumble back.
During an interview on 7/9/24, at 4:30 PM, with the Administrator, the Administrator stated, We don't have a 5-day follow up report.
During a review of the facility's policy and procedure (P&P) titled, Reporting of Alleged Violations, dated 3/18,
the P&P indicated, A completed copy of all investigation findings, documentation forms and written statements from witnesses, for all allegations of abuse, must be provided to the Administrator/designee; and to other officials in accordance with State law, including to the State Survey Agency, within 5 working days of
the incident, and if the alleged violation is verified appropriate corrective action must be taken.
FORM CMS-2567 (02/99) Event ID: Facility ID: If continuation sheet Previous Versions Obsolete Page 5 of 5 055199
HORIZON HEALTH & SUBACUTE CENTER in FRESNO, CA inspection on recent inspection.
Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.