Follow-up·April 18, 2024

On 4/19/25, Licensing Program Analyst (LPA) Kevin Mknelly, conducted a case management visit and met with executive director, Eva Bowlin and memory care director Aaron Burgos . The purpose of the visit was to discuss incident reports received by the department. On 3/27/24, R1 exhibited a change in condition and upon hospital evaluation was found to have a UTI and dehydration. LPA and director discussed R1's care plan and efforts to assist R1 stay hydrated. Additionally, overall resident hydration measures were discussed as warmer weather has begun. The licensee appears to have proper measures in place. On 3/29/24, R2 and R3 were found to have left the memory care unit and be walking in the facility's parking lot. Staff who found the residents, redirected them to return to the unit to get ready for dinner. Resident's were unharmed. Residents were thought to be last seen approximately 10 minutes before found. The delayed egress system was reviewed to try to determine how residents left unnoticed. The system is found to be working properly, staff training has been done, residents' care plans have been updated. If additional measures will be added to the facility's plan of operations, the update will be submitted to the regional office. No violation is noted for this event. On 3/27/24, R4 had an unwitnessed fall and fracture. R1 pressed their pendant for assistance and received timely medical care. R1 is currently in rehabilitation, will be reassessed before return and their care plan will be updated as needed. In addition to this incident, LPA and director discussed the licensee's fall prevention and assessment program. No violation is noted for this event. As a result of today’s inspection, no deficiencies were noted. Report reviewed. Copy of report and appeal rights provided