Facility Evaluation Report

Licensing Program Analyst Leibert arrived unannounced for the purpose of following up on POC for deficiency issued on 4/14/2023 that involved medication errors and medication storage. Initially, POC was due on 4/18 but was extended by LPA so that a broader range of Administration could be involved in the development of the correction plan. LPA met with the Assistant Director and spoke with the training Coordinator. LPA verified that the facility management has provided proof of correction and development protocols designed to minimize medication errors in the future. Deficiencies are cleared, cleared POC letter issued.