Facility Evaluation Report

Licensing Program Analyst (LPA) Albert Johnson arrived at facility to conduct a Case Management visit to address the Departments investigation into multiple incidents that occurred on different days involving aggressive acts by residents on other residents. The fac ility was given a citation on 4/7/2023 for " Care of Persons with Dementia" and " Reappraisals."

The facility has appealed the citations given on 4/7/2023. The appeal states that the facility did not decrease their staffing levels and claims the Department’s assertion they had is untrue. The appeal states that, "Even if the facility had reduced the number of staff that regulation only states that a facility must ensure there is an adequate number of direct care staff to meet resident needs." The appeal further stated that The Department failed to establish that decreased staffing levels resulted in a resident’s death. The appeal was granted by the Department and the citations will be removed.

During the review of this m atter the Department discovered that the facility employed an individual that was excluded for life on or about June 5, 2018 and that individual has been working since October 21, 2022 to last day worked August 18, 2023. This was confirmed by unemployment papers provided to Oasis P.E.O Claims by the facility for S1.

Citation given on this day fo r Criminal Record Clearance on the attached 809 D page.