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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 allegation above, LPA conducted an initial visit on 06/02/26 and interviewed the administrator at 5:40 p.m., conducted a record review of pertinent records at 5:50 p.m., and toured the facility inside and out at 6:00 p.m. During a subsequent visit on 06/11/26, LPA interviewed ten percent [10%), or thirteen (13) out of 131 residents between 12:45 p.m. and 3:00 p.m. Today, LPA conducted a record review of pertinent records, including but not limited to an admission agreement, medical assessment, care plan, fumigation records, 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 ensure the facility is free of pests" it was alleged cockroaches were found in the room of Resident #1 (R1). |