Facility Evaluation Report

Licensing Program Analyst (LPA) Michael Hood arrived at the facility and met with Facility Owner, Mark Graham, to follow-up on a plan of correction made to the facility on 4/11/2024 to be corrected on 5/3/2024.

LPA spoke with Facility Owner, who confirmed that refund has yet to be issued to resident R1's representative as of today's date.

As a result of this visit, deficiency was observed to not be corrected and a civil penalty in the amount of $600 was assessed because the facility did not comply with a plan of correction for the time period of 4/11/2024 thru 5/3/2024.

Exit interview was conducted with Facility Owner. A copy of this report and appeal rights were provided. Signature on these forms acknowledges receipt of these documents.