Facility Evaluation Report

Licensing Program Analyst (LPA) Jerome Haley conducted an unannounced case management visit to follow up on an incident report sent to the Regional Office dated April 13, 2024, and received April 15, 2024.

During the visit, LPA Haley conducted interviews with facility staff and briefly spoke with one resident to gather additional information on the incident reported to the Regional Office. During the visit, supporting documents were provided.

As a result of today’s case management visit and the information gathered through staff interviews, and document review, deficiencies will be cited.

Staff interviews and document review confirmed a personal rights violation occurred.

An exit interview was conducted and a copy of this report and appeal rights were provided.