Facility Evaluation Report

LPA Kesha Lewis arrived at the facility today and met with CARIE SNODGRASS to follow up on documents that were requested via email on 10/30/2025 and again on 12/09/2025 for R1 which include the following:

· Staff schedules for the months of Nov and Dec 2024 and Jan 2025. Please ensure that the titles of staff are documented.

· MARS for the for the months of Nov and Dec 2024 and Jan 2025

· Physicians Orders for the months of Nov and Dec 2024 and Jan 2025 for R1

· Any reassessment that was conducted for R1

· Any service notes for the months of Nov and Dec 2024 and Jan 2025 for R1

On this date, LPA attempted to collect the file R1 however it was not at the facility. Documentation as listed above is still needed at this time.

The facility is being cited today inspection authority based on the failure to provide the requested documents (see 809D attached). LPA met with CARIE SNODGRASS , reviewed the report, provided a copy as well as the appeal rights.