Facility Evaluation Report

On 5/10/23, Licensing Program Analyst (LPA) Kevin Mknelly, met with Kelly Smitley to follow-up on an earlier case management visit on 4/27/23.

Upon entering the facility, analyst completed electronic screening and sign in. Analyst followed facility's policy and wore a surgical mask.

The incident reports discussed were submitted to the regional office on 4/14/23, 4/22/23 and 4/25/23.

The report submitted on 4/14/23 was for a resident to resident incident of aggression of R1 toward R2.

The report stated that on 4/13/23, (R1) “suddenly approached (R2) and slapped her on the face, grabbed her right shoulder and dragged her on her side.”

Records and statement found R1 to have dementia and to be a resident in the memory care section of the facility with R2. There was no prior history reported to LPA of aggressive behavior by R1 toward other residents. The report submitted on 4/14/23 by Aegis LVN, S1, stated that “suggested 1:1 caregiver for (R1) and DPOA agreed.” On 4/27/23, Administrator stated to LPA that 1:1 caregiver resources were being sought through an agency and that the 1:1 services began for R1 on 4/26/23.

The report submitted on 4/22/23, by S1, was for a resident to resident incident of aggression of R1 toward R3 occurred on 4/21/23. The report submitted by S1 for the 4/21/23 incident stated (R1) “ came to (R3) at her table and suddenly slapped and