Facility Evaluation Report

On August 5, 2026, Licensing Program Analyst (LPA) Murial Han conducted a Case Management - Incident visit to follow-up on an incident that was reported by the facility. LPA met with the Administrator and Resident Care Director and explained the purpose of today's visit.

On July 20, 2026, CCL received an incident report stating that on 7/18/2026, approximately 10:10am, resident #1 (R1) was observed by staff #1 (S1) to be agitated, physically aggressive and struck resident #2 (R2) on the upper back. Subsequently, R1 kicked another resident (R3) on the upper right thigh.

The incident report stated that the facility reported the incident to the responsible parties, the ombudsman, the physician, and local law enforcement. The facility also updated the services plan, updated the assessments, made a Geri-psyche evaluation for R1, and requested medical testing for R1.

During today's visit, LPA toured the memory care unit with the Resident Care Director and LPA observed R1 and R2 were participating in activities and R3 was sleeping. The Resident Care Director reported that all 3 residents did not sustain any injuries due to the altercation. The Resident Care Director stated that they are monitoring the residents more closely and frequently and no further incidents were reported.

This report is reviewed and discussed with the Resident Care Director.