Follow-up·September 19, 2023

Licensing Program Analyst (LPA) Jose Villalobos conducted an unannounced case management visit to review and collect documentation of rent increases provided to residents of the facility back in August of 2022. LPA met with Administrator Michael Forsgren and a copy of this report was provided. On todays visit LPA Villalobos reviewed documentation of the resident census on August 2022 as well as the charges for rent and care per resident. LPA collected the Resident Admission Agreement for (30) of the (54) residents listed on the census. LPA observed that (15) residents were provided a notice of an adjustment to their monthly care fee's to reflect the current rate of the facility. The documents for these (15) residents make up part of the total (30) that were collected during the visit. LPA interviewed Staff #1 who informed LPA that the letters of increase were provided to residents receiving Level 1 care who were not being charged the facilities current rate of $525 for that level of care. The increase to these (15) residents was not due to any change in their level of care or basic rent. LPA informed the facility to provide Licensing with the remaining (24) resident admission agreements by 9/21/23 close of business for licensing to review. Exit Interview conducted and copy of this report was provided.