Incident investigation·March 12, 2026

On 03/12/2026, Licensing Program Analyst (LPA) Yi Sam Jian conducted an unannounced Case Management visit at the facility regarding a self-reported incident involving resident R1. LPA met with Executive Director of Resident Health Services, Martha Nkhoma(S2), and explained the purpose of the visit. During today’s visit, LPA interviewed staff, collected and reviewed facility documentation. At the time of the visit, R1 remained admitted to the skilled nursing facility for rehabilitation. The facility reported that they will reassess the resident’s care needs prior to any potential return to the facility to ensure the resident’s needs can be appropriately met. No deficiencies were cited during today’s visit. The Department will continue to review the information obtained. Additional follow-up may be conducted as needed. Report was reviewed with S2 and a copy was provided.