Facility Evaluation Report

Analyst (LPA) Esther Cortez conducted a case management - deficiencies visit inspection due to a deficiency observed during the investigation of complaint control #29-AS-20220531120218

The LPA met with Administrator Johnna Udden and explained the reason for report.

During the complaint investigation, the following deficiencies were observed:

During today's visit, LPA observed Lysol wipes in Rm3, the kitchen counter, and in the unlocked laundry room accessible to residents in care.

At 11:18 a.m. the LPA observed an unlocked shed in the back yard with a bed, grooming/hygiene items, clothing, a purse, a box of Amoxicillin 500mg capsules, a box of AZO urinary pain relief maximum strength tablets, and small cans of paint accessible to residents in care.

At 1:36 p.m., the LPA observed, grooming/hygiene items, vapor rub, Lysol wipes, a bottle of 10% povidone-iodone solution, wound cleanser, and a tube of Phytoplex protectant Z-guard paste in room 3. Resident in room 3 cannot manage their own medication and is at risk if allowed direct access to personal grooming and hygiene items per their LIC602.

Citations Issued. See LIC 809-D. Appeal Rights discussed and copy of report issued.