Facility Evaluation Report

Unannounced case management visit conducted on 09/25/2024 out to this facility by Licensing Program Analyst (LPA) Charlie Yang who was met by the facility designated representative, Business Office Manager Marcy Borland, who was briefly interviewed at this time.

The purpose of this case management visit was to follow up and inquire about recent incident reports in regards to facility residents and their related care.

An interview was conducted with the facility designated representative Marcy Borland in regards to these incident reports.

A phone call was also made to the facility designated Administrator Sheryl Bravo to inquire and discuss these incident reports as well.

It was learned that this facility self reported a medication error that took place in regards to a resident's care and supervision. This facility did take steps to address the concerns of the responsible parties involved, train and evaluate all facility personnel responsible for handling and dispensing medications, and put into place updated policies and procedures to prevent future infractions.

There were no deficiencies observed or cited during today's case management visit.