Facility Evaluation Report

On 06/12/25, Licensing Program Analyst (LPA) Talwinder Bains arrived unannounced to conduct a case management visit and met with Administrator, Darrell Price and explained the purpose of today's visit.

Case management visit was conducted regarding following incidents reports reported by facility for residents:

Regarding resident, R1- Incident report (LIC624) submitted by facility indicated that resident, R1 was sent to hospital on 05/16/25 as R1 was having suicidal thoughts. It was learnt from record review that R1 returned from hospital on same day without any changes in their medications were doing fine as of today with no further incident(s).

Regarding resident, R2- Incident report (LIC624) submitted by facility indicated that resident, R2 was sent to hospital on 05/14/25 around 1130am, as staff noticed R2 with open wound on scalp bleeding, not getting any better with a foul odor. Record review that R1 returned from hospital on 05/16/25 with new treatment order for wound management and with home health orders.

Regarding resident, R3- Incident report (LIC624) submitted by facility indicated that resident, R3 attempted to leave facility premises on 05/26/25 around 08:50AM without staff’s assistance. Report indicated that R3 was sitting in the patio area and staff saw R3 going on sidewalk of the facility without staff’s presence. Staff brought back R3 to the facility without any injuries. It was learnt that R3 was doing fine as of today with no further incident(s).