Facility Evaluation Report

LPA'S Kesha Lewis and Albert Johnson made an unannounced case management visit and to follow-up on the incident report for AWOL's and falls 9/10/2022-19/15/2022, also to verify correction of citation issued during the case management visit on 9/06/2022.

LPA determined based on LPA observation in the kitchen the fixed or Ansul system was serviced 9/15/2022. Based on records reviewed the facility did addressed the plan of correction from 9/6/2022.

Upon arrival LPA stood at front desk and was not assisted for some time. During the course of the visit LPA'S observed front desk is often left unattended by staff.

LPA'S was also informed by S1 that R1 is no longer at the facility, Based on records review facility is missing or has outdated needs and service plans for R1- R6 six (6) out of six (6) residents reviewed.