Facility Evaluation Report

12/05/2025 12:00 PM Licensing Program Analyst Rebecca Knight conducted an unannounced case management visit and met with Executive Director Irene Davis. Today’s visit is regarding an incident report that was submitted to licensing regarding an incident that occurred on 11/08/2025.

It was reported that on 11/08/2025 Resident 1 (R1) reported to Staff 1 (S1) Resident 2 (R2) had hit them in the head with a pumpkin. Both R1 and R2 are memory care residents. This was an unwitnessed incident and R1 was unable to provide any further details. R1 was found to have a bump on their head. S1 called EMS for medical evaluation. R1’s family refused to have R1 sent to hospital for evaluation. Report was made to local police department and long-term care ombudsman.

During the investigation it was learned that there have been no further incidents between these two residents.

In order to prevent this from happening again the facility has the activities director coming in a later shift so the residents are kept busier and she can provide one to one supervision if needed and redirect. Hospice has reviewed R2’s medication to make sure their pain and anxiety are being managed properly in case this was an influencing factor.

No deficiencies were cited as a result of today’s visit. Exit interview conducted and a copy of the report was provided to Executive Director Irene Davis.