Facility Evaluation Report

Licensing Program Analyst (LPA) Shawna Doucette arrived at the facility unannounced to conduct a case management for an incident occurred . LPA was at the facility and observed additional deficiencies outside of the original incident. LPA met with Administrator Mandy Rancour.

During the course of the visit, it was found R1 has an infectious disease. Facility was notified of R1's restricted/prohibited condition after lab results came back on 5/19/25. Facility did not report to Licensing. Facility does not have a restricted health care plan for R1.

LPA will return at a later date after a further review is conducted if additional citations are necessary.

An exit interview was conducted with the Administrator and a copy of this report was provided with plan of correction and appeal rights. .