Facility Evaluation Report

Licensing Program Analyst (LPA) Nadia Shahbazian and Licensing Program Manager (LPM) Eva Miller conducted a Case Management Visit at the facility to follow up on two incident reports involving medication errors. The incident reports are dated 03/15/2025 and 04/04/2025. LPA/LPM met with Executive Director Brittney Buchannan. An entrance interview was conducted.

LPA requested copies of the Resident Roster, LIC 500 and personnel records for Staff #1 and Staff #2, including but not limited to: Training documents.

Based on interview with administrator and record reviews, it was concluded that, Staff # 1 failed to comply with the facility's plan of operation, resulting in repeated medication errors. Staff #1 was terminated, due to repeated errors.

Citation issued, appeal rights provided and exit interview was conducted; copy of the LIC 809 provided.