Facility Evaluation Report

Licensing Program Analyst (LPA) Manuel Monter conducted an unannounced case management visit in regards an incident report, which stated a resident was allegedly pushed by a staff member. LPA's met with Administrator Holly Suiter . LPA's explained the purpose of the visit.

On October 4, 2024, the Department received an incident report, regarding resident R1. The incident report stated on October 3, 2024, at approximately 9:30pm, staff responded to a residents behavior in a physical manner. Resident sustained skin tear to elbows, and discoloration to back of head. Staff who responded in physical manner was terminated.

On October 7, 2024, LPA's interviewed staff S3 and facility Memory Care Director. LPA's obtained copies of R1's progress notes, physician's report, needs and services plan. Resident R1 had an appointment and could not be interviewed during visit.

LPA determined that the above incident requires further investigation. No deficiencies were cited at this time.

This report was reviewed with Administrator Holly Suiter and a copy of the report was provided.