Facility Evaluation Report

Licensing Program Analyst (LPA) Samer Haddadin conducted an unannounced case management visit at the facility regarding a Special Incident Report received by the Department on May 14, 2026. The report stated that Resident 1 (R1) was found on the floor due to an unwitnessed fall. Upon arrival, LPA met with Susan Lee, Administrator, who greeted LPA and granted entry into the facility. The purpose of today’s visit was explained.

During the visit, LPA reviewed R1’s Physician’s Report and discussed R1’s current condition with Administrator Lee. Administrator Lee stated that R1 remains hospitalized at this time. The facility contacted the hospital for an update regarding R1’s condition and was informed by hospital staff that no fractures were identified.

LPA reviewed relevant facility records related to R1 and discussed the incident with facility staff. At the time of the visit, LPA did not observe any immediate health and safety concerns. No deficiencies were cited during today’s visit.

An exit interview was conducted, and a copy of this report was provided to the facility.