Facility Evaluation Report

At approximately 9:00 a.m. on 09/18/25 Licensing Program Analyst (LPA) Nicholas Reed conducted an unannounced case management visit. LPA met with the administrator and disclosed the reason for the visit.

Today’s case management visit was conducted in conjunction with the investigation for complaint # 31-AS-20250917085457. LPA investigated potential compliance issues with resident admission agreements as well as facility maintenance issues. LPA discussed the status of the rear elevator with the Maintenance Director at 2:00 p.m. today and requested the facility admission agreement and plan of operations with the Business Operations Manager at 2:30 p.m. Due to the need for more information, LPA will return at a future date to discuss rear elevator operations and the overall plan of operations and adherence to admission agreements.

No immediate health or safety concerns were observed during today’s visit.

Exit interview conducted. Copy of report provided.