Facility Evaluation Report

On 4/3/2024 at 11:30am, Licensing Program Analyst (LPA) L. Hall conducted an unannounced Case Management visit regarding an incident that was reported to CCLD on 2/16/2024. LPA met with Zinnia Koch, Director of Wellness and Assisted Living and explained the purpose of the visit.

S1 submitted a self reported incident for staff misconduct that occurred on 2/14/2024. S1 stated S3 had informed S4 that he witnessed S2 rough handling R1. S2 was suspended pending investigation on 2/14/2024 and returned on 2/19/2024. The facility conducted an internal investigation and found there was no intent to harm R1 and the handling of R1 was misinterpreted. Further interviews from the internal investigation were conducted and there was no complaints. LPA conducted a record review of S3's files and did not observe any previous adverse actions taken. LPA tried to interview R1, but was unsuccessful due to her diagnosis.

LPAs collected the following documents: resident roster, staff roster, and an follow-up incident report dated 2/19/2024

Exit interview conducted and a copy of this report was provided.