Incident investigation·April 21, 2025

On 04/21/2025 Licensing Program Analyst (LPA) Justin Giese made an unannounced visit to the facility to follow-up on the submission of an Unusual Incident Report (UIR). The UIR outlined an incident which occurred on 04/09/2025 pertaining to Personal Rights. LPA met with Facility Director, Anita Jones. LPA toured facility inside/out, took census, reviewed/collected documents and conducted an interviews. Due to insufficient information available currently, further investigation will be necessary. LPA will return to the facility on a later date to conclude the UIR investigation. An exit interview was conducted, LPA provided Facility Director, Anita Jones with a copy of this report and a notice of site visit on 04/21/2025. Notice of Site Visit was given and posted in a prominent location Notice of Site Visit must remain posted for the next 30 days