Facility Evaluation Report

On 07/01/2026, Licensing Program Analyst (LPA) Socorro Leandro conducted an unannounced case management visit. The purpose of this visit is to deliver deficiencies observed on 05/07/2026 during a complaint investigation visit control number 11-AS-20260501095056. LPA met with the Assistant Administrator, Nathaniel Stockard , and the purpose of the visit was explained. LPA was granted entry to the facility.

Technical Advisory is being provided regarding the following:

The facility did not work collaboratively with Client 1’s (C1) medical provider/staff regarding medication administration. C1’s medical provider indicated that their staff went to the facility and requested C1’s Medication Administration Record (MAR) and the facility staff did not provide said records.

Deficiencies observed on 05/22/2026 were as follows:

· The facility did not have a complete medical assessment prior to C1 being admitted to the facility. Admission Agreement states that C1 original admission date was 03/03/2026. C1 did not have a complete Physician’s Report (medical assessment); the document was blank and did not have a physician’s signature.