Facility Evaluation Report

On 9-26-22 at ,12:25pm Licensing Program Analyst (LPA) Michael Bilger arrived unannounced to conduct a case management visit. LPA met with Administrator Adetayo Kokomo and explained the purpose of the visit. During the course of an investigation related to complaint #27-AS-20220719142225, it was determined that Resident1 (R1) was admitted to facility with Stage 4 and Stage 3 pressure injuries. It was further determined that Administrator did not ensure proper communication with the Department to seek an exception for proper care and supervision during R1’s residency as required per regulations.

As a result of today’s visit, citation is issued under Title 22, Division 6, Chapter 8. An exit interview was conducted with Adetayo Kokomo and a copy of this report was left with Adetayo. Appeal rights provided.