Follow-up·April 14, 2026

At 2:05pm, on 4/14/2026, Licensing Program Analyst (LPA) Haner-Tomasko arrived at the facility unannounced to conduct a Case Management - Other visit. LPA met with Licensee/Administrator Evelyn Strampe, announced who he was and the reason for the visit. During today's visit LPA and Administrator toured the facility and LPA checked the well-being of the residents. LPA attempted to review the facilities centrally stored medication and the licensee could not provide the Centrally Stored Medication and Destruction Records (CSMDRs) for the five residents the facility manages medications for. This was previously cited during a visit by the LPA on 1/21/2026, the facility submitted the plan of correction on 1/29/2026, during the LPAs visit conducted on 2/10/2026 Licensee and LPA reviewed completed CSMDRs, but as of today's visit the Licensee states they have not continued to follow their protocol, does not have CSMDRs completed for medications received since the LPAs last visit and is not able to find the previously completed CSMDRs. LPA also reviewed the resident records noting three of six residents have an appraisal conducted within the last year. LPA offered Technical Support Services to the Licensee. Exit interview conducted, deficiencies cited on LIC809-D pages, a civil penalty in the amount of $250 for a repeat violation is being assessed on the LIC421FC, report signed, report and appeal rights provided to the Licensee.