Correction check·May 30, 2025

Licensing Program Analyst (LPA) Fred Arias made an unannounced visit for the purpose of conducting a Plan of Corrections Inspection for a deficiency issued on 05/06/2025 during the required annual inspection. LPA was greeted and granted entry by staff and explain the purpose for the visit. LPA toured the facility to check the deficiency has been corrected with staff. LPA verified 10 residents were present with 9 of them having bed rails on their beds. LPA verified those 9 residents have bed rail orders on file. Based on LPA's observation on today's visit, the Plan of Corrections has been fulfilled by the assigned POC due date of 05/20/2025, thus clearing the Type B deficiency CCR 87608(a)(3). An exit interview was conducted and a copy of this report was provided to the facility representative.