Facility Evaluation Report

LPA Johnson arrived to the facility unannounced to conduct a plan of correction visit. LPA met with the Administrator who assisted with the POC visit.

The following deficiencies, initially cited during a visit on 12/05/2025, have been cleared: Section Cited: 87465(a)(4) Date Due: 12/08/2025

Plan of Correction: Facility staff agrees to conduct a medication audit from an outside agency by POC date 12/08/2025. Facility staff agrees to email LPA an audit plan by 12/08/25 Corrections: Cleared By Visit Clearance Date: 03/19/2026

Section Cited: 87207 Date Due: 12/08/2025

Plan of Correction: Facility staff agrees to conduct a medication in-service by POC date 12/08/2025. Facility staff agrees to email LPA a medication in-service plan by 12/08/2025. Corrections: Cleared By Visit Clearance Date: 03/19/2026

Section Cited: 1569.695(c) Date Due: 12/06/2025

Plan of Correction: Licensee will submit a proof of a completed fire /disaster drill to LPA by POC due date Corrections: Cleared By Visit Clearance Date: 03/19/2026 E xit interview conducted.