Facility Evaluation Report

On 7/1/2025, Licensing Program Analyst Arvin Villanueva (LPA) arrived at this facility unannounced to conduct a case management visit. LPA met with Executive Director/Administrator Alyssa Sellers and stated the purpose of the visit.

The purpose of this visit is to follow up on the death of Resident_1(R1) occurred on 6/21/25. The Department an incident report and death report on 6/27/25. The investigation into R1’s death consisted of interviews and record reviews. Per review of the death report, the cause of death is unknown at this time. Additionally, R1 was receiving hospice care services due to Alzheimer's Disease. R1 was sent to the hospital on 6/21/25 due to shortness of breath and low oxygen saturation.

According to an interview with the facility's Director of Health and Wellness (DHW), R1's family has not shared any updates about the cause of death. The DHW stated that R1 was removed from life support at the hospital, according to family member.

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Also, in this visit, LPA conducted a physical walk through of common areas both in the Assisted Living side and Memory Care side for complaint # 27-AS-20250625155709. During the walk through of the Memory Care Living room, LPA observed a cleaning chemical spray bottle labeled POPCORN MACHINE CLEANER inside a cabinet, above the faucet to the left. The cabinet was observed to be unlocked and the cleaning supply was accessible to residents in care. However, the bottle was located at the very top of the shelf. Additionally, LPA observed a staff to be present providing supervision to the residents in the room.

Based on this case management visit, deficiency is being cited.

Exit interview was conducted and a copy of this report and appeal rights were provided.