Incident investigation·December 1, 2025

On 12/1/2025 at 11:00 AM Licensing Program Analysts (LPA) A Gomez arrived unannounced to conduct a Case Management. LPA met with Executive Director, David Clawson and explained the purpose of the visit. LPA received an incident report on 11/19/2025 stating that a resident was found after an un-witnessed fall. On 12/1/2025 LPA spoke Memory Care (MCM)Joseph Dungo who states that R1 had a fall and was sent out to the hospital. R1 is currently at a skilled nursing facility recovering (SNF). R1 is expected to return in a few weeks. MCM states that R1 did not sustain any injuries and is at a SNF as a precaution. MCM states that R1 will be re-assessed before their return by the facility nurse. No deficiencies Cited. Exit interview conducted. A copy of this report provided.