Facility Evaluation Report

Licensing Program Analyst (LPA) Arian Golbakhsh conducted an unannounced Case Management visit to follow up on a client death reported to Community Care Licensing. LPA was welcomed by, identified themselves to, and discussed the purpose of the visit to Executive Director Deborah "Debbie" Johnston and Digital Support Specialist Dennis Green.

Community Care Licensing received an Incident Report on 02/02/26 in which it was reported that a Client (Identified as C1) had passed away on 01/31/25 at the hospital after having been in and out of the hospital and Skilled Nursing Facilities (SNFs) post surgery.

During today's visit, LPA conducted file review and interviews, and provided consultation with Executive Director Jonston. The facility is currently awaiting the death certificate once cause of death is officially determined and will forward to the Department once received.

At this time, LPA observed no immediate health and/or safety concerns and no deficiencies were cited during today's visit.

No Deficiencies were cited during the visit. An exit interview was conducted with Executive Director Jonston to whom a copy of this report and the Licensee/Appeal Rights (LIC 9058) were provided. Their signature below confirms receipt of these documents.