Facility Evaluation Report

On 9/16/2024 Licensing Program Analyst (LPA's) B. Miranda and S. Douchette arrived at the facility unannounced to conduct a case management. LPA's met with Administrator Linda Poythress to go over the report.

LPA's interviewed Assisted Living Manager (ALM). LPAs asked if any resident's had recently been sent to the hospital, Assisted Living (ALM) stated R1 went to the hospital on 9/9/2024 and was also sent to the hospital the week before. LPAs asked if the incidents were reported to the Dept., ALM stated the incidents were sent to the Dept. by fax. LPAs asked ALM to provided the fax number the reports were sent to, but was not able to provide the number. LPAs asked to see the incident reports. Incident reports were provided but there was no fax confirmation attached. LPAs also conducted interviews were other residents who stated residents had been sent to the hospital within the past few weeks, ALM did not provide reports any additional reports.

Deficiency cited under Title 22, Division 6, Chapter 8.

Exit interview was conducted and a copy of this report LIC809, LIC809D, and appeal rights were provided to Administrator Linda Poythress via email.