A Nurses Touch RCFE

Allegation investigated: Staff instructed unqualified staff to perform glucose test for resident. Facility management is not present in the facility for a sufficient number of hours.

On 07/16/26, Licensing Program Analyst (LPA) Graham Gunby arrived at the facility unannounced to deliver complaint findings into the allegations listed above and met with Licensee, Lendour Pritchett. During the investigation, the Department conducted interviews, observations an reviewed documentation pertinent to the investigation. *Continued on LIC9099-C* Unsubstantiated Allegation: Staff instructed unqualified staff to perform glucose test for resident. The Department requested and reviewed R1’s physician’s report. Physician’s report indicates R1 is unable to administer own prescription medications, administer own injections, perform own glucose testing. As stated on R1’s 602, resident will need medication assistance and reminders. S1 explained that R1 is diagnosed with dementia and needs frequent reminders to do the testing. Through interviews with R1, R1 confirmed that staff set up medications and R1 would administer their own insulin and perform their own glucose testing. Allegation: Facility management is not present in the facility for a sufficient number of hours. Through the course of the investigation the facility provided the LPA with an updated LIC500. The LIC500 stated S1 is at the facility on the schedule from 8am-4pm Monday through Friday. S1 stated that is their official schedule, as they are add more staff, but is typically at the facility longer than what is on the schedule. R1 stated that S1 is at the facility a lot, even when there is another staff member working. Per Title 22, “The administrator shall have sufficient freedom from other responsibilities and shall be on the premises a sufficient number of hours to permit adequate attention to the management and administration of the facility as specified in this section.” Based on the interviews and evidence obtained, although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is Unsubstantiated.the state’s words, verbatim · CDSS document, Jul 16, 2026 · control 59-AS-20260406115616

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Graham Gunby arrived at the facility unannounced to conduct a Required-1 Year Inspection utilizing the inspection tool. LPA met with Administrator, Lendour Pritchett, and explained the purpose of the visit. LPA and Administrator conducted a tour of the interior and exterior of the facility. Areas toured include but not limited to resident bedrooms, bathrooms, kitchen, common areas and backyard. LPA observed required furniture, and lighting throughout the residents' bedrooms and facility. LPA observed residents' bathrooms to be clean, sanitary, and in good repair. LPA observed food supplies of non-perishables for a minimum of seven (7) days and perishable foods for a minimum of two (2) days. Toxins and cleaning supplies are locked and inaccessible to residents in care. The hot water temperature was measured in the kitchen sink at 120 degrees Fahrenheit. LPA observed fire detectors and carbon monoxide alarms to be operable. The fire extinguisher is located in the kitchen and was last serviced on 03/09/2026. LPA observed required Licensing posters posted in the entry of the facility. LPA observed medications and sharps to be locked and inaccessible to residents in care. LPA reviewed one (1) resident records. All records contained the required documentation. LPA reviewed two (2) staff records. Staff have all required documentation and first aid training. No deficiencies are being cited during today's inspection. Exit interview conducted and a copy of the report will be emailed to Administrator.the state’s words, verbatim · CDSS document, Mar 27, 2026

Type of visit: Post Licensing

Licensing Program Analyst (LPA) Graham Gunby arrived at the care home today and met with the Administrator, Lendour Pritchett, to conduct an annual required and post licensing visit. For more information on the post licensing visit please see LIC 809 dated 03/26/2026. No deficiencies cited for the post licensing visit.the state’s words, verbatim · CDSS document, Mar 27, 2026

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Graham Gunby arrived on 03/05/2025 to conduct an unannounced annual inspection. LPA rang the doorbell in an attempt to see if anyone was present at the facility and if there were any residents under care and supervision at this time. Several attempts were made with the doorbell but LPA was unable to get anyone to come to the door. LPA made contact with Administrator Lendour, and scheduled a visit to the facility on 03/25/2025. LPA observed no residents at the facility. Areas toured included but not limited to: private residents room, bathrooms, kitchen, backyard, storage area, and common areas. LPA observed the fire extinguisher in the dinning room. LPA observed sharps, toxins, and medications to be locked and secured. LPA reviewed Administrators file containing all the required paperwork and training. No deficiencies cited. Exit interview conducted. A copy of this report was emailed to the Administrator.the state’s words, verbatim · CDSS document, Mar 25, 2025

Type of visit: Prelicensing

On 2/20/2024, Licensing Program Analyst (LPA) Cassie Yang arrived announced at the facility to conduct a pre-licensing inspection. LPA met with Applicant, Lendour Pritchett, and explained the purpose of the visit. During today's inspection, LPA and Applicant conducted a tour of the interior and exterior of the facility to ensure there is no immediate health, safety and personal rights violation. LPA conducted a tour of two shared bedrooms, two private bedrooms, three bathrooms, laundry room, kitchen, garage, backyard, and common areas. LPA observed fire extinguisher serviced on 11/28/2023. LPA observed resident bedrooms to have the proper furniture of comfortable bed, night stand, dresser, lamp and chair. LPA observed the facility to have a proper storage for medications, toxins and sharps which is locked and inaccessible. LPA observed facility to have ample supply of personal hygiene, linen, and non-perishable foods. LPA observed the exterior of the facility to be free of obstruction. LPA observed the facility to have the required posters of Community Care Licensing Division and Long Term Care Ombudsman. LPA and Applicant completed the inspection tool and Comp III. Pre-Licensing completed and no deficiencies was observed. LPA and Applicant discussed providing Applicant a copy of LIC 311F, Health Safety Code regarding staff training, regulation regarding physical restraint. LPA informed Applicant facility is not licensed until Applicant is informed by Centralized Application Bureau Analyst with a copy of facility license. Exit interview conducted and a copy of the report was provided via email.the state’s words, verbatim · CDSS document, Feb 20, 2024