Facility Evaluation Report

On 6/24/2025, Licensing Program Analyst(LPA) John Calandra arrived at the facility to conduct a Case Management visit to deliver additional deficiencies in regards to a complaint received by the Department on 4/17/2025. LPA Calandra was greeted by Faye Arnaiz, Administrator and explained the purpose of the visit. Administrator, Zach Pilkerton arrived later during the visit.

Complaint was regarding the death of resident (R1) who wandered away from their room in the early morning hours and was later found outside non responsive. The facility Administrator at the time thought R1 had a Do Not Resuscitate(DNR) order but could not locate it. This is an immediate health, safety, or personal rights risk to persons in care. A Type A citation is issued this day for this violation.

The following deficiencies were cited on 809-D, per Title 22 Regulations, Division 6. Failure to correct the deficiency and/or repeat deficiencies within a 12-month period may result in civil penalties.

An exit interview was conducted. This report was reviewed with facility representative, and a copy of the report along with appeal rights left at the facility.