Facility Evaluation Report

At approximately 9:00AM, Licensing Program Analyst (LPA) Chris Arnhold arrived at this facility, unannounced, to conduct a case management visit in regards to an incident report submitted to CCL on 08/09/2022. LPA met with Executive Director Angie Smith, toured the facility and reviewed records. The nature of this incident was an unexpected death. LPA reviewed resident records. Resident was not under special observation or 1 on 1 care. Based on a review of records and interview with Director, facility followed resident care plan and regulation in the care of this resident.

During this visit, LPA reviewed the facilities infection control procedures and visitation protocols. LPA discussed the Departments Provider Information Notices (PIN's) with Director. When the facility has a Covid Positive resident or staff, those individuals will isolate. Visitation can still occur in other parts of the building, providing the visitor meets the requirements for an indoor visit.

LPA also discussed the activity program at the facility. LPA was informed there is an Interim Activities Director. LPA strongly encouraged Director to plan and execute activities in the memory care section of the facility.