Follow-up·November 23, 2021

Licensing Program Analyst (LPA) Kevin Mknelly and Regional Manager (RM) Alycia Berryman, arrived at the facility unannounced on 11/23/2021 for a case management visit.. LPA met with Executive Director (ED) and explained the purpose of the visit. Prior to initiating the visit, LPA completed required COVID-19 testing protocols, and a daily self-screening questionnaire for symptoms of COVID-19 infection to affirm no COVID-19 related symptoms. LPA completed a facility risk assessment upon arrival. LPA and RM ensured they used hand sanitizer just after entering the facility and the following Personal Protective Equipment (PPE) was worn. Additionally, LPA and RM were screened by receptionist. The purpose for the visit was to discuss a recent eviction notification received by Community Care Licensing (CCL) for R1 and a recent fall by R2. R1 has had a change of condition in their ability to manage a restricted health condition. ED informed LPA that they are successfully working with the resident, responsible parties, physician and home health to integrate measures to allow R1 to remain at the facility. LPA asked that the facility rescind the eviction order and copy CCL when the notice is sent. R2 had a fall with injuries on 11/18/21 which was reported to CCL on 11/20/21. R2 has returned to the community and their care plan is being updated to meet R2's physical, cognitive and supervision needs. LPA and RM were given a tour of the facility. ED will email LPA a copy of staff schedules for 11/21/21- 11/27/21 As a result of this visit, there are no deficiencies cited. Report was reviewed and copy provided