Facility Evaluation Report

On 08/20/24 around 02:25 PM L. Holmes, Licensing Program Analyst (LPA), arrived unannounced to conduct a case management for an Unusual Incident/Injury Report (UIR) for Resident #1 (R1). LPA met with with Carol Blackwell, Director of Resident Care Services (S2) and Erik Holzherr, Assistant Executive Director (AED). LPA explained the purpose of the visit.

Upon interviewing S2 regarding R1's bowel movements, S2 immediately knew who R1 was and stated that R1 resides in an Independent Living (IL) unit and that the caregivers would not normally keep record of the IL residents' bowel movements. Now that the facility is aware, there will be some follow-up conversations with R1 and R1's spouse to aid with R1's condition.

AED confirmed that the UIR was sent to CCLD and was aware of the incident as Assisted Living (AL) and IL support both sides.

Exit interview conducted and copy of this report provided to Erik Holzherr, Assistant Executive Director (AED).