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13 | At approximately 10:00 a.m. on 06/30/26 Licensing Program Analyst (LPA) Nicholas Reed conducted an unannounced complaint visit. LPA met with the administrator and disclosed the reason for the visit.
To investigate the allegations above, LPA conducted an initial visit on 04/29/26 and interviewed staff and residents between 12:30 p.m. and 1:45 p.m., requested pertinent records at 1:15 p.m., and toured the facility inside and out at 2:00 p.m. Today, LPA conducted a record review of pertinent records, including but not limited to an admission agreement, medical assessment, care plan, and staff and client rosters at 10:05 a.m. and toured the facility inside and out at 10:30 a.m.
Regarding the allegation "Staff do not monitor resident for changes in condition” it was alleged Resident #1 (R1) showed signs of cognitive impairment which were not addressed by staff. Also, R1 reported a fall which staff were not aware of. Interview with R1 at 1:00 p.m. on 04/29/26 revealed they felt fine after two (02) falls in April 2026 and received adequate care from staff. |