Facility Evaluation Report

On February 13, 2025, Licensing Program Analyst (LPA) Kevin Mknelly, conducted a case management visit and met with Administrator .

The visit conducted today is to review the amended report created in 1/14/25.

On 1/14/25 an incorrect regulation was cited for the CCR 87469(c)(3) Advanced Directives and Requests Regarding Resuscitative Measures.

As the deficiency did occur but was incorrectly cited, the deficiency was removed from the 1/14/25 report and is being re-issued at this time.

The plan of correction for the deficiency has been completed. No further action is required by the licensee at this time.

While present LPA reviewed a medication error that occurred on 1/31/25. A plan of correction had already begun. The resident was uneffected by the error and supervisory action has been initiated for the staff.

As a result of today’s inspection, no new deficiencies were noted.

Report reviewed. Copy of report and appeal rights provided