Correction check·May 6, 2025

On 5/6/25 Licensing Program Analyst (LPA) Holly Williams arrived unannounced to conduct a plan of correction visit. LPA Williams met with facility designated administrator (FDA) Dessilava Dimitrova and explained the purpose of the visit. A brief interview was conducted with the FDA. The census is 2 and the facility has a hospice waiver for 2 residents. As of 5/5/25 LPA Williams have not received all proof of corrections as agreed in the plans of correction. Upon touring the facility the LPA observed that the carpet has not been replaced or taken out in two of the bedrooms. LPA granted an extension until 5/20/25 to take out or replace carpets in the 2 rooms. The rest of the facility looks clean and free of hazards. Civil penalties were assessed in the amount of $100 for failure to correct the previously issued citation that was issued on 4/10/2025. An exit interview was held with FDA. Appeal rights and a copy of this report was left with FDA.