Facility Evaluation Report

Unannounced Plan of Correction visit made out to this facility on 12/30/2024 by Licensing Program Analyst (LPA) Charlie Yang. This LPA was met by the facility designated Administrator Cleo Brelin. 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 post licensing visit conducted on 05/02/2024. This visit was to follow up on the Plan of Correction that was due.

The following deficiencies were observed and cited on 05/02/2024:

The following requirements shall apply to medications which are centrally stored: (5) Each resident's medication shall be stored in its originally received container. No medications shall be transferred between containers.

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.