Follow-up·March 1, 2024

Licensing Program Analyst (LPA) Javier Prieto made an unannounced visit to the facility to conduct a case management visit relating facility compliance, addressing complaints from residents and also a specific incident that occurred on February 28th, 2024 relating to resident #1 (R1) and the circumstances relating to R1's passing. LPA Prieto met with Administrator McAdoo-Morton and explained the purpose of the visit. During today’s visit, LPA Prieto conducted a facility tour of the facility, dining and common areas. The physical plant was clean and in order with no deficiencies observed. LPA Prieto also interview resident counsel president (RC) who states that issues or concerns relating to the facility are gathered from resident's and are addressed with Executive Director McAdoo-Morton. RC states that those issues are addressed appropriately and timely. RC states that residents had made complaints on their own, which were not brought to RC's attention and even issues that were. LPA Prieto obtained incident reports pertaining to R1 passing, medical reports and follow up documentation relating to grievance services provided to staff, residents and their families. No deficiencies were cited during this visit. An exit interview was conducted with Executive Director McAdoo-Morton and a copy of this report was left with facility.