Facility Evaluation Report

Licensing Program Analyst (LPA) Rose Ruppert made an unannounced case management visit to amend a deficiency page from a visit on September 25, 2025. LPA was greeted and granted entry and explained the purpose of the visit. LPA met with Maricel Lindsey, Administrator.

LPA also spoke with Licensee, Larry Lindsey via phone, regarding the purpose of the visit and that the deficiency page would be amended and re-signed. LPA acknowledged the Plan of Corrections (POC) cited on the deficiency page were completed. The POCs for staff in-services for 9-1-1 protocols and documentation for change of condition/ re-appraisals were emailed to LPA by POC date.

LPA spoke with Administrator to audit current resident files to make sure all licensing forms, such as Appraisals/ Needs and Services Plans or any Re-Appraisals were completed.

An exit interview was conducted with Maricel Lindsey, Administrator, and a copy of this report and the amended LIC 809-D was left at the facility.