Correction check·December 11, 2023

On 12/11/23 at 9:30am, Licensing Program Analyst (LPA) Kevin Gould conducted an unannounced Plan of Correction (POC) inspection to ensure previous plans of corrections have been addressed and completed per the plan of correction identified during the complaint inspection on 12/1/23. LPA Gould inspected the medication administration logs for residents and observed all medications documented appropriately. Staff present was receiving POC training in the presence of LPA by an outside agency. LPA Gould approved additional time for administrator to complete POC for written plan of correction as LPA requested additional information on the written plan of correction. POC extension to 12/12/23 by COB. Exit interview conducted and a copy of this report was left at the facility.