Incident investigation·January 18, 2024

Licensing Program Analyst (LPA) Tiffany Holmes conducted an unannounced case management visit. LPA identified herself and was granted entry by the Administrator. LPA met with Regina Jackson- Patton, Administrator and discussed the purpose of the visit. On January 16, 2024 the facility self reported a resident death regarding Resident 1 (R1) from January. 12, 2024 to Community Care Licensing. This visit was conducted to follow-up with the death report. During today’s visit, LPA briefly toured the facility, conducted interviews with Regina Jackson- Patton, Administrator, requested and obtained relevant records. A copy of the resident's death certificate was requested upon receipt. No deficiencies were cited during today’s visit. An exit interview was conducted with Regina Jackson- Patton, Administrator and a copy of this report, and Licensee/Appeal Rights (LIC 9058 01/16) were provided to both Managers at the conclusion of the visit.