Facility Evaluation Report

Licensing Program Analyst (LPA) Amy Rodgers conducted an unannounced case management visit to conduct follow up regarding an incident. LPA was greeted by, identified herself to, and explained the purpose of the visit with Operation Specialties Emily Turner and Associate Executive Director Aileen Spence.

On 11/16/2025, the Department received a self-report incident from the licensee that described an incident that occurred on 11/6/2025. The incident report described that Resident 1 (R1) had a fall in the common room, staff assessed resident and called 911. [General Manager provided with LIC811 Confidential Names List to identify R1] R1 was transported to the hospital, received medical treatment, and was returned the same day.

During today’s visit, LPA observed residents in care, spoke with Operational Manager, and reviewed and obtained facility records. Additional visits may be necessary in regards to this incident.

No deficiencies were cited on today’s date. An exit interview was conducted with Associate Executive Director Aileen Spence., whose signature below confirms receipt of a copy of this report, the LIC811, and the Licensee Appeal Rights (LIC9058 3/22).