Facility Evaluation Report

LPAs Dwayne Mason Jr and Nancy Guillen arrived at the facility for the purpose of conducting a Case Management visit to issue deficiencies. LPAs were greeted and granted entry by facility staff. LPAs met with Administrator, AD, Pamela Junge and explained the purpose of the visit.

On 11/22/2024, LPAs issued three deficiencies as part of the facility's annual inspection. Due to a final printing error, one of the deficiency pages was deleted from the Licensing database.

LPAs issued a deficiency for a medication error - Incidental Medical and Dental - Type B: 87465(c)(2)

LPAs issued a deficiency for part of the facility not being safe and in good repair - Maintenance and Operation - Type B: 87303(a)

Based on today's visit, two deficiencies are being issued. LPAs reviewed this report with facility staff. A copy of this report was provided.