Follow-up·January 30, 2026

Licensing Program Analysts, LPA, Noel Wolf Petersen and Michael Bilger arrived unannounced to conduct a case management for the exception process. LPAs met with administrator Carie Snodgrass to explain the purpose of the visit. LPAs reviewed 12 of 12 client preapprisals, needs and services plans, 602's, medication logs for restricted and prohibited conditions. 1 of 1 hospice care plan and 4 clients home health aid services contracts. 6 of 12 clients were met by the LPAs to physically inspect thier needs. 2 clients with catheter care, restricted 1 client with o2 administration, restricted 1 client with tracheometry tube, Prohibited 2 clients have insulin dependant diebetes, restricted 1 client has a g-tube, restricted, LPA provided guidance to facilitate alternate accomodations for the client with the Trach tube. Per administrator, the resident with o2 administration and the tracheometry tube is in the hospital with pneumonia, and the plan is to have that resident not come back to the facility. LPA gave guidance Needs and services plans will be updated for the remaining clients, describing what elements of care the facility is doing and what elements of care the 3rd party services are doing. Administrator provided 602's will be updated as necessary for clients who can take care of thier own needs. LPA provided guidance to formally request exceptions from the departement for any outstanding restricted care. LPA gave guidance for blood pressure medication distribution with variable distribution is to be evaluated by a nurse, not a caregiver. Citations issued on following d-page. A copy of the report was read and given to the staff, appeal rights were provided. An exit interview was conducted.