Facility Evaluation Report

Licensing Program Analyst (LPA) Magdaleno arrived unannounced for the purpose of conducting a Case Management - Other visit and met with Assistant Administrator May Ramos and Health and Wellness Director Ieshaa Ragland.

This visit was conducted to follow-up and gather more information regarding an Incident Reports (IR) submitted by the facility on 05/11/2026 and a Death Report (DR) submitted by the facility on 05/14/2026. IR submitted indicated a resident (R1) who developed wounds that were labeled "unstageable" by a third-party nurse practitioner. DR indicated the passing of a resident who was not receiving Hospice care. LPA gathered further documentation.

During this visit LPA also amended a report for complaint 21-AS-20260407094438. Amended report signed and received by Assistant Administrator May Ramos.

No deficiencies cited. Exit interview conducted with Assistant Administrator, whose signature on form confirms receipt.