Facility Evaluation Report

On 1-7-22 at 2:05pm, Licensing Program Analyst (LPA) Michael Bilger arrived unannounced to conduct a case management visit related to a complaint follow up. Complaint #27-AS-20211210155939. LPA met with Monica Butay, Assistant Administrator and explained the purpose of the visit. Administrator was notified and gave permission for Assistant Administrator to accommodate LPA and sign in his absence. During complaint visit on 1-7-22, LPA reviewed resident1 (R1) chart record and determined that physician's report was completed on 12-28-21. Further review of chart record revealed that resident was admitted 10/22/21. Based on today's visit, deficiencies are cited under Title 22, Division 6.

An exit interview was conducted with Monica Butay and a copy of this report was left with Monica. Appeal rights provided.