Facility Evaluation Report

Licensing Program Analyst (LPA) Anna Bueno conducted an unannounced visit to this facility to verify a proof of correction from an 8/16/2022 visit citation and to deliver an amended report of complaint control number: 56-AS-20220808090401.

Complaint control number 56-AS-20220808090401 is SUBSTANTIATED and deficiency is being cited on this report's LIC809-D.

LPA Bueno verified that the side gates are accessible from the outside and LPA viewed Resident 1's physician's order for PRN medications. A Letter of Deficiency Citations Cleared was issued to Administrator Mawikere on this day.

Administrator Mawikere signed the amended LIC9099, LIC809, and LIC809-D. All reports, including aforementioned forms, appeal rights , and letter of deficiency citation cleared, were discussed with and copies were provided to Mr. Mawikere at the conclusion of today’s visit.