Facility Evaluation Report

On April 20, 2022, Licensing Program Analyst (LPA) Komal Charitra conducted an unannounced case management visit to follow up on an incident that occurred on 4/11/2022. LPA met with Interim Executive Director, Ryan Mussato and explained the purpose of the visit.

During the visit, LPA reviewed resident's (R1's) file and received documents in relation to the incident. LPA Charitra interviewed the Interim Administrator. An updated care plan was submitted to LPA by email. During this time, R1 was at the hospital for a routine check up.

This incident requires further investigation.

This report is discussed and reviewed with Interim Executive Director, Ryan Mussato. A copy is provided.