Incident investigation·April 15, 2024

Licensing Program Analyst (LPA) Rebecca Ruiz conducted an unannounced case management visit. LPA was greeted by, identified herself to, and explained the purpose of the visit to Executive Director Candi Laird. This visit was initiated due to an incident report that was self reported by the facility to the Department on 4/12/2024. The incident report narrative described that sometime in April 2024, Resident 1 (R1) had reported to an outside source that an altercation between R1 and an unknown individual had occurred. The described altercation did not result in any injuries. The facility became aware of the alleged altercation when the outside source reported R1's statement to the facility management. The facility followed required reporting requirements to the Department and Long Term Care Ombudsman. During today’s visit, LPA toured the facility, observed residents in care, conducted a health and safety check, and reviewed and obtained copies of facility records. No immediate health or safety concerns were observed during the facility tour. No deficiencies were cited during today’s visit. An exit interview was conducted with Executive Director Candi Laird, whose signature below confirms receipt of a copy of this report and the Licensee Appeal Rights (LIC9058 03/22).