Facility Evaluation Report

On 10/10/2024 LPAs B. Miranda & S. Doucette arrived to the facility unannounced to conduct a case management visit regarding an incident that occurred on 9/18/24. LPAs met with Administrator Linda Poythress.

LPAs reviewed R3's file and found R3 was sent out to the hospital on 9/18/24 & 9/19/24. An incident report was submitted to the Dept informing resident was sent to the hospital on 9/18/24 only. R3 being sent to the hospital on 9/19/24 was not reported to the Dept.

LPAs also reviewed medication which show R1 missed Vitamin D3 from 10/5/24-10/10/24. S2 could not provided verification documenting the missed medication and the medication error was not reported to the Dept.

The is a repeat violation. Citation will be issued under Title 22, and civil penalty will be issued.

Exit interview was conducted, copy of report LIC809, LIC809D, and LIC421FC were provided to Administrator Linda Poythress.