Facility Evaluation Report

Licensing Program Analyst (LPA) Michael Hood arrived at the facility unannounced on 3/24/2023 to conduct a Case Management Legal visit in accordance with the Stipulation and Order effective 6/1/2022-5/31/2024. A copy of the Stipulation and Order is available for review upon request. LPA met with the Executive Director, Kimberly Hagen.

During today's visit, LPA reviewed the following stipulations of the order:

1. Facility shall be clean and in good repair

-During inspection, LPA observed facility to be clean and in good repair

-LPA observed documentation regarding alert button logs and observed that alert buttons were being responded to timely

-Facility is reporting regularly to LPA regarding response times for alert buttons

3. Audit of resident care tasks and staff numbers

- LPA observed records of resident care task audit and staff numbers and observed sufficient staff per resident care needs

-Facility is conducting monthly training and LPA observed staff training material and attendance sheets

No deficiencies are being cited. Exit interview conducted and copy of report left at the facility.