Incident investigation·April 15, 2022

Licensing Program Analyst (LPA) Esther Miller conducted an unannounced Case Management visit related to an incident report. LPA identified herself and was allowed entry into the facility by Corinna Norton, Director of Resident Services. LPA discussed the purpose of the visit with Craig Sumner, Executive Director. On March 29, 2022, the facility self reported an unusual incident to the Department regarding Staff 1's (S1) medical emergency. During the incident, the facility observed that Resident 1 (R1) had missing medications. During today's visit, LPA briefly toured the facility clinic, interviewed staff, and requested copies of facility records. No deficiencies were cited during today's visit. Additional guidance was provided regarding reporting requirements. LPA Miller discussed over email and during this visit the level of detail needed to properly convey the nature of events reported. An exit interview was conducted with Executive Director and a copy of this report and Licensee/Appeal Rights (LIC9058 FAS 01/16) were provided to Executive Director.