Facility Evaluation Report

On 4-28-22 at 3:30pm, Licensing Program Analyst (LPA) Michael Bilger arrived unannounced to conduct a case management visit related to complaint control #27-AS-20220405083355. LPA met with assistant administrator Carrie Mumphrey and explained the purpose of the visit. Administrator William Puckett made aware of LPA's visit. During a complaint visit and investigation for #27-AS-20220405083355, it was identified through this complaint investigation that Resident1 (R1) has a history of falls. Appraisal Needs and Service plan dated 2-15-22 for R1 was reviewed as well as incident reports for R1. Based on record review it was determined that R1 sustained falls on 2-16-22 and 4-12-22. Additionally, it was revealed through record review that appraisal needs and service plan for R1 is not updated to reflect specific interventions for fall preventions.

Deficiencies are cited as a result of today's case management visit. An exit interview was conducted with Carrie Mumphrey and a copy of this report was left with Carrie. Appeal rights provided.