Facility Evaluation Report

Licensing Program Analyst (LPA) Avelina Martinez arrived at facility unannounced to conduct a case management visit on 07/23/2024 at 10:50 AM. LPA Martinez met with Andrea Armstrong and explained the purpose of the visit.

The purpose of the visit today is to conduct a quarterly visit. LPA Martinez followed up with the following:

Staffing Concerns : LPA Martinez will return to follow up on medication training.

Medication Errors: LPA Martinez will return to the facility to follow up on medication error incident.

Medication Audit: A medication Audit was completed on July 18, 2024

Reporting Requirements: The Department received a medication error incident report on July 17, 2024.

Medication Training : LPA Martinez will return to follow up on medication training.

Facility Polices Regarding: Assessments, Monitoring of residents, Change in condition, Medication errors. LPA Martinez will return to follow up on medication training.

LPA Martinez reviewed seven resident files and conducted interviews in regards to medication errors. LPA Martinez will follow up on the seven files at a later time. LPA Martinez will conduct a continuation quarterly visit.

There were no deficiencies cited at this time, and exit interview was conducted. A copy of this report was provided to the facility.