Facility Evaluation Report

Licensing Program Analyst (LPA) Kimberly Lyman conducted an unannounced case management visit in conjunction with complaint visits 22-AS-20220810143732, 22-AS-20221018074030, 22-AS-20221025101527, 22-AS-20230106135453, and 22-AS-20230112082829. LPA was greeted and granted entry into the facility and explained the reason for the visit.

During the visit, LPA requested documents from staff. Documents were unavailable during the visit. Please forward the following requested documents by close of business Wednesday March 18, 2026:

Any documents pertaining to missing/ stolen items for Resident 1 and physician report.

Physician report, pre-appraisal, care plan and any progress notes for 2022 for Resident 2.

Physician report, pre-appraisal, care plan/ hospice notes and any progress notes for 2022 for Resident 3

Physician report, pre-appraisal, care plan and any progress notes for 2022 for Resident 4

Exit interview conducted and a coy of this report was left at the facility.