Incident investigation·April 21, 2023

At 9:00am on 04/21/2023, Licensing Program Analyst (LPA) Jeffries arrived unannounced at the facility to conduct a health and welfare visit/check addressing the incident report submitted on 04/19/2023, pertaining to Resident 1 (R1). LPA met with facility nurse, Jodie Sweeney, LVN and announced who he was and the reason for the visit. LPA conducted a abbreviated cursory tour of the facility for observation. LPA was able to observe R1 in the facility. R1 appeared to be in good physical condition and functioning normally in the facility dining room with facility community peers.. LPA requested the following documents: -Staff schedule and contact phone numbers. -Resident roster with room numbers and contact information. -Facility call button summary for 04/18 -19/2023. (Below documents received by LAP via email) -R1's Physicians Report, per admissions appraisal, appraisals needs and services plan, and list of current medications. LPA will forward observational and documentation information collected and follow up with Licensing Program Manager. Exit interview, report read, report singed and report provided.