Facility Evaluation Report

LPA Albert Johnson made an unannounced POC visit to the facility to verify correction of citations issued during the annual visit conducted on 11/07/2022 .

Deficiency cited under Title 22 Regulations have been cleared. Licensee complied with the terms of the POCs by POC due date.

Facility was provided a POC cleared letter for cleared citations.

During the tour of the facility LPA observed (photo taken) that the facility is using the garage as a bedroom, LPA reviewed the facility sketch and confirmed that the Fire Marshal did not clear the garage to be used as a staff room or a bedroom. The Administrator will be moving out on the 1st of December 2022.

R1 currently has medication in the facility that does not have a current order from a primary care physician. The facility received medication with no orders from the family of R1 on 11/09/2022 with a change from the 100 mg of Amiodarone to 200 mg (RX#387) without a prescription from R1's Physician.