Facility Evaluation Report

On 07/01/2026 Licensing Program Analyst (LPA) Shakaricka Hughes conducted an unannounced visit to the facility. The purpose of the visit was to follow up on an incident report that was submitted to the Dept on 06/27/2026. LPA met with the Memory Care Director, Olivia Prince. The current census is 89 with 12 facility staff present.

LPA interviewed Olivia regarding an incident that occurred on 06/07/2026 in the Memory Care Unit, involving facility staff (S2). According to the incident report, S2 attempted to prevent a resident from leaving the Memory Care Unit and exiting the facility. Facility staff (S1) reported witnessing (S2) strike the resident across the face and then escorted the resident back to their room.

Olivia stated that, following the incident, the facility conducted several in-service training courses, including Mandated Reporting training on 06/24/2026. LPA reviewed personnel records for (S1) and observed documentation verifying completion of Acknowledging Requirement to Report Suspected Abuse on 01/19/2026. Despite having received the required training, S1 failed to immediately report witnessing the alleged physical abuse of a resident by staff (S2), as required.

Based on today's case management, a citation is issued under Title 22, Division 6. An exit interview was conducted and a copy of this report LIC 809, LIC 809-D and appeal rights were provided at the end of the visit.