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13 | At approximately 12:45 p.m. on 01/22/26 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 interviewed staff and residents between 12:45 p.m. and 3:30 p.m. today, toured the facility inside and out at 1:00 p.m., and conducted a record review of pertinent records, including but not limited to a medical assessment, care plan, medication record, and resident roster at 1:30 p.m.
Regarding the allegation ”Staff do not prevent residents from smoking in non-designated areas” it was alleged residents smoked in the central courtyard and garage which affected the health of Resident #1 (R1). During the facility tour, LPA observed six (06) residents smoking in the designated area near the street corner. LPA inspected the courtyard and garage and found no cigarette butts, residents smoking, odor of smoke, or other indications of smoking in non-designated areas. |