Facility Evaluation Report

This report was created to correct information and deficiency on the report made on May 21, 2026.

Licensing Program Analyst (LPA) Michael Cava conducted a case management visit to address deficiency observed during complaint investigation visit for complaint # 31-AS-20260119231501.

During the investigation it was revealed that Resident 1 (R1) had a fall on the night of 01/16/26, but facility staff did not call or sought medical attention after the fall. R1’s responsible party arrived the morning of 01/17/26 at around 10:00am and sought emergency services for R1. As a result, R1 sustained a broken hip and dislocated shoulder. Interview with Staff 1 (S1) confirmed paramedics were not called immediately to treat R1 for their fall. When S1 was questioned why 911 emergency services were not called, S1 stated they were not called for fear that licensee/operator would be upset. S1 did what they could’ve done best, by staying alongside R1 until R1’s responsible party can call 911.

A citation will be issued on the 809D for failure to provide adequate care.

Appeal Rights, copy of LIC809/809D, were mailed to the licensee’s last known mailing address.