Facility Evaluation Report

Licensing Program Analyst (LPA) Albert Johnson conducted a health and safety check on this day.

Health and Safety check included overall safety of the facility including food supply, physical plant and staffing. LPA was following up on non-compliance information from the meeting held on 8/15/2025 and to clear citations from 2025.

LPA provided the facility with emailed copies of the citations from 2025 that need to be cleared. The facility has requested an increase in their hospice waiver. The department has requested that in areas that have not been given a plan of correction from prior visit from August of 2025 through November of 2025 or the facility has not identified or developed a plan of correction from the above dated; a plan of correction will be developed and submitted.