Facility Evaluation Report

04/30/2026 10:15 AM Licensing Program Analyst (LPA) Rebecca Knight arrived at the facility unannounced to conduct a case management visit. LPA met with Executive Director Brian Moore and explained the purpose of the visit.

On 04/29/2026 while conducting a complaint investigation LPA observed Resident 1's (R1) room to be very cluttered with minimal clearance for ambulation. LPA observed R1’s bed to be covered with various items which would make it impossible for R1 to sleep in their bed.

R1 states they chose to not sleep in their bed as they have a difficult time transferring and prefer to sleep in their recliner. LPA observed a recliner in R1’s room.

The facility does not currently have a waiver in place that would allow R1 to sleep in their recliner in lieu of their bed. LPA advised the administrator that the facility is required to immediately request a waiver for R1 to sleep in their recliner in lieu of their bed.

Facility administrator was advised to submit the following to obtain a waiver for Resident 1 (R1) to sleep in a recliner in lieu of their bed:

Written and signed request from the resident.

Written and signed permission / recommendation from the resident's physician.

Written and signed permission from the resident's responsible party (if any).

Written and signed request from the facility with all of the above shall be submitted to licensing for review / approval.

No deficiencies were cited. Technical assistance was provided. An exit interview was conducted and a copy of the report was provided to administrator Brian Moore.