Incident investigation·February 26, 2025

Licensed Program Analysts (LPAs) Cassandra Mikkelson and Cheyenne Ratajczak arrived at the facility and met with Business Services Manager Kay DeVault for a case management visit. LPAs followed up regarding a LIC624 sent to CCLD regarding resident R2's blood sugar levels. LPAs reviewed medication records, blood sugar logs and R2's physician's report. LPAs reviewed records which indicated facility followed proper protocols regarding incident. LPAs followed up regarding incident involving Resident #1 (R1) was being financially abused by the nail salon services for about a year. LPAs reviewed termination letter given to vendor dated February 11, 2025. LPAs also reviewed new policies and new consent form with Kay DeVault and Executive Director Alicia Rist, on the phone, that has been put into place. At this time, deficiencies are not being cited. Exit interview conducted and a copy of the report was left at the facility.