Facility Evaluation Report

On 04/27/2026, Licensing Program Analyst (LPA) Arielle Pascua arrived unannounced to this facility to conduct a case management visit. LPA Pascua was greeted by Facility Designated Administrator (FDA), Andrea Armstrong and explained the purpose of the visit.

The purpose of this case management visit was to conduct a quarterly visit as outlined from the Non Compliance Conference held on 03/25/2024 and the requirement to have increased monitoring at that time.

The focus of this quarterly visit was to review the following items that were initially brought forth on 03/25/2024:

Facility Polices Regarding: Assessments, Monitoring of Residents, Change in Condition, Medication Errors.

During today's visit, LPA Pascua conducted a tour of the Assisted Living, kitchen, outside areas, and memory care unit. It was learned during the course of this tour that this facility has 3 caregivers, 1 medication technician, and 1 activity director in each memory care and assisted living areas. In addition, the assisted living units have an additional activities aid and facility driver.

LPA Pascua reviewed the Medication rooms in both the Assisted Living and Memory Care areas. Policies and procedures involving the handling, dispensing, and documentation of the resident medications were discussed with the present medication technician at this time.