Facility Evaluation Report

Licensing Program Analyst (LPA) Tuesday Cabiness conducted a case management visit in conjunction with Complaint Control #31-AS-20260115084953. Based on information obtained during the visit, it was revealed that there were multiple incidents involving inappropriate behavior by resident #1 (R1) toward other female residents.

According to the Administrator, staff observed R1 during nighttime hours looking through the windows of other residents’ rooms. Although incidents of inappropriate behavior involving R1 were reported to and known by the facility, the facility failed to report these incidents to Licensing as required. This failure to report poses a health and safety risk to residents in care.

Citation issued, appeal rights, exit interview conducted and copy of report provided to Administrator.