Facility Evaluation Report

Licensing Program Analyst (LPA) Janira Arreola conducted an unannounced Case Management Visit. LPA met with Administrator, Armond Hagan, who was informed of the purpose of the visit. LPA later met with Staff, Aidan Hagan. LPA made (3) attempts to contact the licensee during the time of the visit, however no response was received. LPA conducted a walk through, interviews, and records review.

LPA conducted a health and safety check on the resident's at the time of the visit. LPA observed (2) residents in care and (2) cleared staff present at the time of the visit. No immediate health or safety issues were observed.

A file review revealed annual conducted on 02/22/2024, and continued on 02/26/2024 had uncleared deficiencies that were verified at the time of the visit. Citation for uncleared adults observed 02/22/2024 was issued. During today's visit LPA did not observed any uncleared adults in the facility, therefore the deficiency was cleared.

Deficiency was issued for medications that did not have a stop of discontinuation order on file for the resident. LPA reviewed the medications during the time of the visit and found all medications accounted for with doctor's orders and on medications lists. Therefore, this deficiency was also cleared at the time of the visit.