Routine inspection (multi-day)·July 18, 2025

At approximately 10:40AM, Licensing Program Analysts (LPAs) Marisol Cuadra and Julie Florio arrived at this facility unannounced, to conduct a subsequent annual inspection that began on 06/11/2025 and met with Administrator Kristi Morrow to review records. At approximately 11:00AM, LPAs reviewed eight resident records and seven staff records. 8 out of 8 resident's records have current medical assessments and care plans. 7 out of 7 staff records have current required annual training and current First Aid/CPR certification. Medication and medication records were reviewed, LPAs observed that s tart dates for medications not listed on Centrally Stored Medication Record, LPAs have a conversation with nurse manager and the facility agreed to ensure they remain in compliance moving forward (technical violation issued). During today's visit, LPAs are following up on an incident report dated 7/10/25. Per incident report, on 7/8/25 a concerned outside party of resident (R1) contacted the facility regarding several alleged recent large transactions (unknown amounts) from R1's banking account. Facility staff followed up with R1 regarding concerns raised and R1 stated that there was no cause of concern because it was their money and they would spend it as they wanted, which according to R1 it was previously discussed with concerned party. R1 noted that they hired a private caregiver (I1) to get help with shopping. Continue on LIC809C... Continued from LIC809... The facility also contacted R1's responsible party (POA) who indicated that they do have concerns on their own but had "no proof of wrongdoing". R1 will have a conversation with concerned party again regarding their financial decisions. LPAs reviewed resident's records including their physician report dated 5/11/25 and care plan dated 5/13/25 confirmed that R1 is able to manage own cash resources. POA agreement does not indicate that R1's representative have any power over resident's financial decisions. Per conversation with Licensing Program Manager (LPM), LPAs requested the facility submit a report of alleged financial abuse to all required agencies. LPAs requested additional documentation from facility and will follow return to Regional Office and discuss with LPM further. No Deficiencies are cited during this subsequent inspection. Exit interview conducted with Administrator whose signature on form confirms receipt.