Facility Evaluation Report

Licensing Program Analyst (LPA) Shawna Doucette and Miriam Flores conducted a visit to deliver findings and during the course of the investigation deficiencies were found. LPAs met with Administrator Perla Pena.

After conducting interviews and reviewing files, if was found the facility did not call emergency services immediately after R1 fell and obtained a fracture.

If warranted civil penalties will be issued at a later date. Refer to 809D for deficiency.

An exit interview and a copy of this report with plan of correction and appeal rights were provided to the Administrator.