Facility Evaluation Report

Unannounced case management visit conducted on 01/31/2025 by Licensing Program Analyst (LPA) Charlie Yang and Regional Manager (RM) Stephenie Doub who was met by the facility designated Administrator Jose Ventura.

A brief interview was conducted with the facility designated Administrator at this time.

The purpose of this case management visit was to follow up, with quarterly visits, and inquire about the requirements that were laid out from the office meeting for the non compliance conference which took place on 03/04/2024.

The following items were required to be maintained in compliance while this facility was under increased monitoring with quarterly visits:

Uphold all Personal Rights of the Residents

Maintain and conduct Personal Rights training and verification for new and existing employees

Facility designated Administrator must maintain oversight of facility staff for proper care and supervision

Make sure that this facility is following all Reporting Requirements

Updating policies and procedures for resident fall risks

Make sure that facility staff are always seeking timely medical attention

Update and maintain Needs/Appraisal Training for all staff

Maintain and train all care staff on proper documentation for the facility Communication Log

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