Facility Evaluation Report

On 12/11/24 Licensing Program Analysts (LPAs) Cheyenne Ratajczak and Graham Gunby arrived at the facility unannounced to conduct a case management visit regarding a Death report that the department received on 12/05/24. LPAs met with Executive Director (ED) Christal Anderson and explained the purpose of the visit.

The purpose of the visit is to gather more information regarding a death report Community Care Licensing (CCL) received on 12/05/24. LPAs spoke with the ED regarding the events leading up to R1s death. Death report states that the immediate cause of death is still pending. ED is awaiting Coroners report and will send LPAs a copy once received.

LPAs obtained a copy of R1's LIC602, ID page, and hospice notes.

Exit interview conducted and a copy of the report was left at the facility.