Facility Evaluation Report

Licensing Program Analyst (LPA) Angela Hood arrived at the care home today and met with the Executive Director (ED), Dana Stansel, to conduct a case management visit in relation to a separate inspection conducted on today’s date, November 4, 2025.

LPA reviewed resident (R1's) documentation. The facility provided R1's progress notes indicating that R1 was sent to the hospital on January 14, 2025, due to increased confusion and hallucinations. R1 was reassessed by the facility on January 22, 2025, which indicated that R1 required assistance three (3) times per day for orientation "mild/moderate impairment of memory, disorientation, and may display anxiety with memory difficulties. May be perceived as oriented, but memory deficits seen over time. Requires some prompting and encouragement 1 to 3 times per day". R1's previous assessment conducted on March 28, 2024 did not indicate that resident required assistance. R1's Physician's Report LIC602A dated January 6, 2022 indicated that R1 had mild cognitive impairment and did not exhibit confusion/disorientation. R1's Physician's Report LIC602A dated January 21, 2025 indicated that R1 had a primary diagnosis of Dementia and exhibits confusion/disorientation. Interview with ED indicated that R1 required additional care due to progression of Dementia diagnosis. The facility implemented additional care for R1.

According to R1's Identification and Emergency Information LIC601, R1 is their own responsible party for financial affairs, payment for care, and their own legal guardian. R1's LIC601 also included family members to notify in an emergency. Email correspondence indicated that the facility was aware that R1's family member was attempting to gain Durable Power of Attorney (DPOA) in order to assist R1. According to

invoices provided by the facility, R1 was on an automatic payment plan. The automatic payment did not go

************************************************Continued on LIC809-C********************************************