Facility Evaluation Report

Licensing Program Analyst (LPA) Shannan Hansen arrived unannounced at facility for the purpose of following up on an incident report received in the Regional Office (RO). LPA met with Administrator Audre Verling.

LPA was following up on a self reported incident report received on 11/9/2022 regarding resident (R1) who on 11/8/2022 was complaining of abdominal pain and shortness of breath. R1 was admitted to the hospital with pulmonary embolism and diverticulitis. Nothing else was reported.

While at facility Administrator informed LPA R1's family member informed facility R1 will probably be returning to facility 11/11/22 with new medications. Facility will update required records.