Facility Evaluation Report

Unannounced Plan of Correction visit made out to this facility on 07/14/2025 by Licensing Program Analyst (LPA) Charlie Yang. This LPA was met by the facility designated Administrator Andrea Armstrong. A brief interview was conducted with the facility designated Administrator at this time.

The purpose of this visit was to follow up on the deficiencies that were cited from a prior case management visit/Legal Non Compliance conducted on 06/19/2025. This visit was to follow up on the Plan of Correction that was due.

The following deficiencies were observed and cited on 06/19/2025:

A plan for incidental medical and dental care shall be developed by each facility. The licensee shall assist residents with self administered medications as needed. This requirement was not met as evidenced by:

Plan of Correction clearance letter was printed and a copy was provided to the facility designated Administrator at this time.

There were no further deficiencies observed or cited during today's Plan of Correction visit.