Facility Evaluation Report

Licensing Program Analyst (LPA) Albert Johnson arrived at facility to conduct a Case Management visit due to multiple incidents involving aggressive acts resulting in a death, aggressive acts resulting in a resident hitting another with a fire extinguisher.

Based on records reviewed and incidents which resulted in a death and bodily injury, the department is requesting that the facility increase the staffing to address the lack of supervision which has resulted in these unfortunate incidents including a death.

LPA was able to determine that the facility has reduced the number of staff on the AM shift from eight staff to seven staff and the same for the PM shift from eight to seven. The NOC shift was staffed at four and now staffed at three. As a result of this reduction in staffing the facility has compromised the safety of the residents in care.

On 2/13/2023 R1 was assaulted by R2 resulting in R1 going to the ER for evaluation. The discharge summary diagnosed "Assault and back Pain. R1 has since moved out of the facility.