Non-compliance follow-up·November 16, 2022

Licensing Program Analyst Ryker Heberle (LPA) conducted an unannounced case management visit regarding the facility's current probationary license. LPA met with facility Resident Services Director Blyth Obien (RSD). LPA toured the facility with RSD. During tour of the facility, LPA observed the facility to be operating within regulation, including compliance with personal rights and allowable health conditions. LPA observed the facility's probationary license posted both on the bulletin board outside of the Administrators office, as well as framed in the receptionist's office and in the waiting room outside of administrative offices. The facility does not currently have any residents that are utilizing home health agreements. The only resident that had been under home health previously is now under hospice services instead RSD is still the facility infection prevention specialist. IP qualifications have been previously reviewed by LPA. No additional administrator training documentation has been generated since case management inspection on 07/12/2022. Admin has already completed all necessary course work. No deficiencies cited during today's visit. This report was reviewed with Resident Services Director Blyth Obien and a copy of this report was provided.