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13 | On Thursday, 2/26/26, Licensing Program Analyst, (LPA) Raymond Comer conducted a subsequent visit to the facility to complete investigation of the above allegation(s). LPA conducted the initial complaint visit on 05/15/25, at which time LPA spoke with Executive Director at 8:05am and discussed the allegations.
At 8:15am, LPA requested and received residents’ facility file, including but not limited to physician report, need and service plan, Medication Administration and Destruction (MAR) records, incident reports, activity schedule, and other pertinent documents. Records were reviewed at 11:05 am. Between 11:25 am and 2:40 pm, LPA conducted interviews with the Administrator, three (3) Staff, and Responsible family member involved with R1’s care provided at the facility.
At the time of this visit, at 11:45 am, LPA requested and reviewed additional facility files including facility incident reports, and other records. In addition, Betwenn 12:00pm and 1:35 pm, LPA interviewed additional residents.
[LIC9099C] Continued- |