Incident investigation·April 2, 2025

On April 2, 2025, at 8:00 AM, Licensing Program Analyst (LPA) Edward Kim conducted an unannounced Case Management Visit to follow-up on incident reports received from the facility. LPA Kim was greeted and granted entry by Executive Director (ED) Austin Morris and LPA Kim explained the purpose of the visit to ED Morris. During today’s visit, LPA conducted a health and safety check, and there were no imminent health/safety concerns observed. Facility maintained at a comfortable temperature for the residents in care. LPA obtained Staff Roster, Resident Roster, and R1’s and R2’s records which includes the Physician’s Report, Admission’s Agreement, Emergency Information, Incident Reports, Appraisal and Needs/Service Plan, and other pertinent documents. During the visit, LPA Kim interviewed two staff members and one resident. No deficiencies were cited during this visit. An exit interview was conducted, and a copy of this report was provided to the Executive Director Austin Morris.