Follow-up on corrections·July 17, 2024

On 07/17/2024 Licensing Program Analyst (LPA) L. Alexander arrived unannounced to conduct a Case Management - Deficiency. LPA met with Obed D'Autruche , and explained the purpose of the visit. LPA arrived to facility to conduct a complaint investigation (Control#15-AS-20240711093341) and during the visit LPA also discussed the deficiency not cleared. LPA discussed the deficiency and not receiving requested supported documents for foley catheter exception request which was cited on 05/29/2024. Administrator and Licensee gave several pages of documents in which LPA scanned with personal portable printer. LPA advised that documents will have to be reviewed. Licensee stated that they will send a revised exception request letter and a list of staff training to LPA via e-mail today. Facility has the following deficiencies that was not cleared : 87616(b) = 30 days X $100.00 = $3,000.00 Civil Penalties in the total amount of $3,000.00 is assessed today for failure to meet POC due date for deficiencies. Facility is subject to ongoing daily civil penalties until deficiencies is corrected. Exit interview conducted. A copy of this report, appeal rights and LIC421FC provided.