Facility Evaluation Report

On 12/18/25, Licensing Program Analyst (LPA) Lavinia Muscan arrived unannounced to conduct a case management inspection following receipt of incident report (LIC624) for a resident on 12/17/25. LPA met with Administrator Robert Lindwall and explained purpose of the visit.

LPA discussed death of resident (R1) in more detail, including resident's recent condition prior to passing. LPA reviewed R1s paperwork, including but not limited to Physician's Report, Appraisal/Needs and Service Plan and Centrally Stored Medication Record . LPA requested R1s file documents to be sent to LPA via email by 12/18/25 by 12PM.

At this time, further analysis is needed, and a copy of death certificate is also requested for review.

There are no deficiencies being cited during today's inspection.

Exit interview. Copy of report left at facility.