Follow-up·April 6, 2023

On 4/6/2023, Licensing Program Analysts (LPA's) Cassie Yang and Sarah Benson arrived at the facility unannounced to conduct a case management visit. LPAs met with Administrator (Admin) and explained the purpose of the visit. The facility is currently licensed for (6) non-ambulatory, hospice waiver of 2. During today's visit, there are (3) residents and 0 resident on hospice services. During today's visit, LPA's and Admin toured the interior of the facility to ensure the health and safety of residents in care. In areas toured, no immediate health and safety violation observed. LPA's observed (3) residents in their private rooms. LPA observed the staff room to be vacant. Admin informed LPA that Admin and his wife are the only ones utilizing the staff room during NOC shifts. LPA's and Admin discussed staffing shortage at the facility. Admin informed LPA's he has not posted position openings but waiting on staff recommendations. As a result of today's inspection, no deficiencies cited. Exit interview conducted and a copy of the report was left at the facility.