Facility Evaluation Report

Licensing Program Analyst (LPA) Hanna Gough made an unannounced visit to the facility for the purpose of conduction a Plan of Correction inspection for a deficiency given on May 21, 2025 during a case management inspection. LPA was greeted and granted entry by staff. LPA met with Administrator Jerry Rodriguez and explained the purpose of the visit.

LPA toured the facility and checked that resident rooms were clear of medications. LPA observed an in service training that was held on May 22, 2025 for medication and administration storage and how they should be made inaccessible to residents in care if they are not allowed to store or manage their own medication per their physicians report.

Based on today’s observations the Plan of Correction has been fulfilled by the assigned Plan of Correction due date of May 22, 2025, thus clearing the Type A deficiency CCR 80075(k)(1).

An exit interview was conducted with Administrator Jerry Rodriguez and a copy of this report was provided at the time of the inspection.