Facility Evaluation Report

Licensing Program Analysts (LPA’s) Erica Mosley and Kelly Dulek conducted an unannounced Case Management – Incident visit at 11:45 a.m., The LPA’s met with Executive Director (ED), Remon Pagels and explained the reason for the visit. Entrance interview conducted.

The Department received a self reported incident report and a subsequent incident death report regarding Resident #1 (R1) on 05/12/2025 and 05/13/2025 a referral was made to Community Care Licensing Division's (CCLD) Investigation Branch (IB). During today’s visit, LPA's conducted a physical plant tour to ensure there are no immediate health and safety concerns, conducted an in-person interview with the Executive Director (ED), a file review for R1 along with obtained copies of pertinent documents relevant to the incident. If further investigation is needed the LPA will return at a later date.

Exit interview conducted. Report was reviewed and a copy was provided.