Incident investigation·July 14, 2021

Licensing Program Analysts (LPA) Melissa Spaeth conducted an unannounced Case- Management - Incident visit. The purpose of this visit is to follow up on a special report submitted to the department on July 13, 2021. LPA met with staff Ashlee Bennett. Administrator Wanda Smith was not at the facility The licensee reported that on 07/07/2021 two residents were involved in two inappropriate encounters within the facility. The two encounters both occurred on the same day and was reported to Administrator by caregiver. During this visit LPA conducted interviews of the four residents and caregiver regarding the incident. The interviews were conducted from 1:45 pm until 2:25 pm. LPA toured the facility at 2:30 pm. LPA observed two resident rooms (one female room and one male room) and the staff bedroom located on the west side of the facility along with a bathroom. LPA walked through the kitchen to the east side of the facility passing through a small empty room, the exercise room then to the resident sitting area. There are two resident bedrooms along with resident bathroom and dining area. Caregiver explained one resident room is empty but two female residents share a room. LPA Spaeth observed three residents watching tv. Record review was conducted by LPA Spaeth from 2:45 pm until 3:26 pm. LPA reviewed two resident files and medication records. Further investigation of the incident is needed at this time. Exit interview conduct, appeal rights discussed. Report will be emailed to Administrator.