Facility Evaluation Report

Licensing Program Analyst (LPA) Evelin Rios conducted an unannounced Case Management - Deficiencies visit to this facility in conjunction to Complaint Control # 31-AS-20251003161950 . LPA met with the Administrator Stephanie Oden and explained the reason for the visit.

During physical plant tour at 10:59 a.m., LPA observed following:

During the inspection, LPA observed that bedroom number 50 had a broken window with shattered glass scattered on the ground outside. The window itself had been covered with a wooden board. According to the resident occupying the room, the damage had been present for several months without repair.

In bedroom number 68, LPA observed that only one of the four light bulbs was functioning in the bathroom. The shower head was in disrepair. Additionally, one of the two bed frames in the room was broken and had been propped up using a box filled with cans. Residents staying in the room reported that these issues had been communicated to both caregivers and reception staff, with no corrective action taken for over a year.

Deficiencies cited (refer to LIC809-D). Exit interview conducted. Appeal rights provided. Copy of report provided.