Office review·November 30, 2023

Licensing Program Manager (LPM), Maribeth Senty, and Licensing Program Analyst (LPA), Kevin Mknelly, conducted a remote office meeting with Administrator via Zoom conference to discuss recent compliance issues and offer further assistance if needed. In the meeting today, LPM and LPA reviewed, with Mr. Stir, the citations and advisories issue to the licensee on visits dated 10/31/23 and 11/17/23. All plans of corrections have been completed to date. The licensee is currently in compliance with regulatory requirements. The regional office offered Mr Stir, Technical Support Program (TSP) consultation to further review and advise on medication administration and procedures as well as any other other issues identified with the licensee that may be of benefit to continued success. Mr. Stir accepted the offer. The Regional Office (RO) will submit a request to TSP. As a result of this meeting no deficiencies were cited. Copy of the report provided to Licensee via email with a request for return signed copy.