Facility Evaluation Report

Licensing Program Analyst Nicol Wesley conducted an unannounced Case Management visit at the facility and met with Assistant Administrator Zach Miller and Wellness Director Michelle Adams to discuss the purpose for todays visit, which is to ensure the facility is in compliance with adding Dementia Care to their facility. During the visit Administrator Victoria Tran arrived and joined the visit.

In regards to the facilities Dementia Care Plan, Items must be addressed to ensure the health and safety of the residents are being met. Here is a list of the following items that were observe to not meet the standards of Caring for a person with Dementia.

Staff training(who is conducting the training).

Emergency Disaster Plan(Address the dementia care).

Outside middle of the facility(waterfall, not gated or secure).

Outside on same campus SNF by the entrance of facility has stairs going. downward, and two waterfalls(1 gated) and 1 is not secure.