Correction check·November 8, 2024

Licensing Program Analyst (LPA) Marcella Tarin arrived unannounced to conduct a case management to follow up on deficiencies that were cited on 10/28/2024. LPA Tarin met with Administrator (ADM) Bradley Burgoyne. On 10/28/2024, LPA Tarin conducted the facility's annual inspection. During resident record review, LPA Tarin observed Resident records for R2 and R3, did not contain updated physician's reports. Resident R2 and R3 physician's reports were not updated within the year. R2 and R3 have neurocognitive disorder. During staff record review, LPA Tarin observed 3 out of 8 staff (S2, S6, and S7) records did not contain CPR/first aid training. During today's visit, LPA Tarin reviewed documentation for S2 and S7 to have completed CPR/First Aid training on 10/28/2024. ADM stated S6 has completed the CPR/First Aid training, but has not obtained the certificate. ADM states the facility will email a copy of S6's CPR/First Aid training once it is obtained. LPA Tarin reviewed updated physician's reports for R2, updated on 09/24/2024. ADM states R3 had a video appointment with his/her physician on 11/7/2024, and is awaiting a copy of the updated physician's report. ADM states the facility will email a copy of R3's updated physician's report once it is received. LPA Tarin cleared the deficiencies cited on 10/28/2024 during today's visit. A Letter of Deficiency Citations Cleared was printed and provided to ADM. No deficiencies were cited during todays visit. A copy of this report was provided to ADM Bradley Burgoyne.