Follow-up·November 12, 2025

THIS REPORT HAS BEEN AMENDED TO REMOVE LIC809-D PAGE. On November 12, 2025, Licensing Program Analyst (LPA) Eboni Bentley arrived unannounced for a Case Management – Other visit for the purpose of obtaining all resident records stored electronically, that were not obtained during the case management visit on November 4, 2025. LPA introduced self and stated the purpose of the visit to Executive Director (ED) Peggy Ulland. During today's visit, LPA obtained hard copies of all residents’ progress notes, In-service training on Catheter, hospice record for one resident, staff roster and resident roster. An exit interview was conducted with Executive Director Peggy Ulland, and a copy of this amended report was provided.