Facility Evaluation Report

Licensing Program Analyst (LPA) Kimberly Lyman conducted an unannounced case management visit in conjunction with complaint visit 22-AS-20240201121336 . LPA was greeted and granted entry into the facility and explained the reason for the visit.

During the course of the complaint investigation, LPA interviewed witness and staff. Resident 1 (R1) was admitted at a skilled nursing facility in December 2023 and returned to the facility February 3, 2024. During the resident's absence, resident's belongings were moved to storage and then changed from room 213 to room 212. Facility staff as well as witness indicate there was no notice provided for the room change.

Based on the observations made from today's visit, deficiency is being cited per Title 22 Division 6 of the California Code of Regulations. This report was discussed with the Administrator and a copy was provided to Administrator as well as Appeal Rights.