Facility Evaluation Report

Licensing Program Analyst (LPA) Sarah Hurt conducted an unannounced facility visit to conduct a Case Management visit. LPA met with facility staff facility Medication Technician, and explained the purpose of today's visit. LPA Hurt also read the report vis phone to Facility Wellness Director, Tiffany Luaces

LPA Hurt toured the facility including entryway, and upstairs area of the facility.

LPA reviewed four incident reports documenting Resident 1 displaying aggressive behavior towards facility Resident 2.

On 01/23/24 Resident 1 nudged Resident 2 with her walker on the back of the legs as Resident 2 was getting on the elevator. Resident 1 proceeded to tell Resident 2 to remove her shirt that it belonged to her. The shirt belonged to Resident 2 and it has Resident 2's name on it.

On 01/15/24 Resident 1 and Resident 2 were sitting in front of the lobby. Resident 1 approached Resident 2 and told that they were wearing their sweatshirt backwards, to take it off and put it on the right way. Resident 2 thanked Resident 1 and proceeded to remove the shirt to when Resident 1 snatched it from her and started yelling that it was theirs. Staff 1 intervened and let the residents know to start arguing. Resident 1 continued to argue with staff and use profound language. Staff 1 separated them and let management know.

The facility could not provide an itemized list of Resident 1's personal belongings.

The following Deficiencies are being cited Per Title 22 Regulations.

Exit interview conducted with Facility Medication Technician, Melinda Alfano, and a copy of this report