Facility Evaluation Report

On 2/20/26 at 10:00 am, an office meeting was called regarding the Plan of Op at Diamond Care Inc. Attending the meeting was LPM Liza King, LPA Noel Wolf Petersen, Facility Administrator Jenna Silva. Discussion of the items began at 9:58 after introductions.

The department has concerns about the plan of op missing/incomplete policies and procedures:

Accepting residents with dementia and also mental health diagnosis

1 RN on call versus on multiple RN's on staff versus contracted 3rd party RN Services

Restricted/prohibited conditions are mixed together. it will be copied over from the admission agreement

Needs and services plan, the preplacement appraisals. It was fine, just out of order.

Special equipment needs procedures for the specific needs.

resident records checklist was provided to the administrator

Personal rights, add all the codes, add a line that says this is not all inclusive of the codes, or make reference to an attached document Like an appendix A where you enumerate the rights.