Facility Evaluation Report

Licensing Program Analyst (LPA) Janira Arreola, conducted an unannounced visit to the facility. The report documents deficiencies found during the time of the visit.

During the tour with staff LPA observed Resident #1 (R1), had a full bed rail, (2) chairs and a night stand surrounding the residents bed. The staff stated this is used from 1pm to 4pm everyday to keep the resident in her bed. In the morning the resident is placed in a Gerichair in the living room. Staff stated and showed LPA a foam mat that is used to surround the residents bed at night. The staff removed the furniture by the end of the visit and agreed to stop the use of the furniture to surround the resident's bed. A deficiency was cited and plan of correction was created with the administrator.

An exit interview was conducted with staff where this report along with deficiency page and appeal rights.