Facility Evaluation Report

Licensing Program Analyst (LPA) Maria (Mita) Partoza, conducted an unannounced case management visit for the deficiencies cited on 10/03/2025. LPA was met by Business Office Director (BOD) Mary Ann Bangsal and Memory Care Director (MCD) Abby Castillo. Executive Director/Administrator (ED/ADM) Minnie Weber was unavailable during the time of the visit due to prior commitment.

During today's visit (07/23/2026), LPA Partoza, reviewed in-service training and requested copies of the training record.

Based on record review, the facility conducted training on he following dates 10/08/2025, 10/22/2025, 11/05/2025, 02/12/2026 02/17/2026, 02/18/2026, 03/26/2026, 04/02/2026, 05/14/2026 for Falls, Changes in condition, Skin tears, Injuries related to residents, Overview of what Dementia is, the different types of Dementia, understanding common behaviors associated with Dementia and appropriate interventions, the importance of early identification and communication of any changes in a resident’s condition, Resident Rights, Reporting Procedures, Review of Individual Service Plans.

MCD stated that in addition to the in-service training that management provides, vendors from health services conducts training to facility staff in the memory care unit.

No deficiencies were cited during today's visit a copy of the report was provided to Designated Administrator/Business Office Director (BOD) Mary Ann Bangsal and Memory Care Director (MCD) Abby Castillo.