Amalia's Residence

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Melisa Rankin arrived at 9:38 a.m. to conduct a 1-year required annual visit. LPA met with Dexter Price, Administrator. A tour of the inside and outside of the facility was conducted. The following was inspected and noted during the annual visit: Physical Plant & Environment Safety:. LPA toured resident rooms and observed that rooms were tidy and free of odor. The lighting and lamps are sufficient for the use of the facility and for resident comfort and safety. Toilet, hand washing and bathing facilities are operational and secure grab bars are present. The showers have non-skid mats/flooring. The pathways are clear of any obstructions. Disinfectant and cleaning solutions are inaccessible to residents in care and locked under the kitchen sink and in garage. The facility has a sufficient space inside and outside for activities and visiting. The facility has a fenced backyard for client use with plenty of shade. The facility has telephone and internet service for resident use. The fire extinguisher was last charged and inspected on April 28, 2025. The facility has smoke and carbon monoxide detectors that were tested. Operational Requirements: The facility has a current plan of operation on file with the department. The Facility is operating in compliance with the granted fire clearance. The facility has current liability insurance and expires on 7/1/26. The facility is approved for a capacity of 6. The fire clearance is granted for 6 non-ambulatory of which 1 may be bedridden. Hospice waiver approved for 4 residents. The facility currently has 6 non-ambulatory residents. Staffing, Personnel Records & Training: The facility currently employs 4 full-time staff and 1 administrator and the ability to call in other staff if needed. Files reviewed had current 1st Aid/CPR, Personnel Records/Application, Health screening with TB results, Criminal Record statements, and Fingerprint clearance/Associations/exemptions. Administrator Certificate expires on 4/18/27. Staff have annual training completed for required subjects/topics and hours for 2024 and 2025. Resident Records & Incident Reports: LPA reviewed 5 resident files for signed Admission Agreements, Personal Rights, Safeguard for property and valuables, Physicians report, Pre-appraisals, Appraisals Needs and Services Plan, Emergency and ID forms, all forms were legible, and records are kept confidential. Food Service: The facility has 2-day perishables and 7 day non-perishables to meet the food service requirement. All food is covered, stored, and marked appropriately. Cleaning solutions and equipment are stored separately from food supplies. Incidental Medical Services: Facility provides transportation or assists in providing transportation to medical and dental appointments when needed. The facility uses the Centrally Stored Medication and Destruct Records (CSMDR). LPA reviewed a sampling of residents’ medications, no labels were altered, no medications were expired, and all medications were kept in their original containers. Disaster Preparedness: The current emergency disaster forms were posted. The facility conducted a quarterly disaster drill/training on 7/21/25. Emergency exits and telephone numbers were posted. A set of keys is available for staff on all shifts to access full facility in an emergency. Residents with Special Health Needs: The facility does accept dementia residents in care. The facility has 2 self-latching gates on side of the home. The facility does not have delayed egress, locked doors or gates. Exit door alarms are working. Exit interview conducted and copy of report printed for Administrator.the state’s words, verbatim · CDSS document, Oct 7, 2025

The state marks this report as 6 pages; the online copy we transcribed has 3. You can request the full file from the county licensing office.

Allegation investigated: Facility staff did not meet resident's needs Facility staff violated resident's personal rights

On 5/13/25 at 10:25 a.m. Licensing Program Analyst (LPA) Melisa Rankin conducted a subsequent complaint visit to the facility above to issue final findings. LPA met with Dexter Price and explained the purpose of the visit. During the initial visit on 4/1/25 LPA Rankin toured the facility interviewed administrators, interviewed residents and obtained relevant documents. On the allegations: Facility staff did not meet resident's needs and Facility staff violated resident's personal rights. Complaint states reporting party spoke with Resident 1 (R1) and that R1 did not want to return to the facility. Per Reporting Party, R1 was upset and alleged the facility was neglectful and abusive. LPA Rankin contacted credible witness (W1) on 4/3/25. W1 visits facility monthly, or more if needed. W1 stated R1 is "very difficult, makes up stories, doesn't work with plan of care." W1 explained that R1 does requests service and then cancels same day as appointments and refuses assistance with Adult Daily Living (ADL) care such as showering, wrapping of legs, and changing of adult incontinence briefs. R1 has cancelled physical therapy, home health aides, and caregivers. Continued on 9099-C Unsubstantiated LPA received paperwork from administrator showing refused services by R1 for imaging orders, gastroenterology appointments, mental health services, caregivers, leg wrapping and assistance with incontinence which also has a note that R1 was warned they will develop pressure sores if R1 is not complaint. W1 stated they have not witnessed any neglect or abuse of any residents including R1. W1 stated “(R1) was the one that was refusing showers and the get up from the chair.” W1 stated “(R1) was incontinent and needed to get up and clean (themselves) and refused and sat there in wet diapers." W1 stated facility never refused any services to come to attend to R1, but that R1 continued to refuse the care. LPA reviewed Police report. Report stated “(R1) alleged abuse and said nothing else. (R1) did not wish to speak about anything with law enforcement. No further information given or evidence any abuse occurred.” LPA spoke with local ombudsman who attempted to interview R1. Ombudsman stated R1 doesn’t like to talk too much, just responds yes or no. Ombudsman stated R1 would not provide any details and that R1 would not give consent for ombudsman to release information to licensing. LPA Rankin interviewed four (4) residents in private at the facility on 4/1/25, all 4 residents did not have complaints about the facility and the care. All residents were observed to be in clean rooms, clean clothes, and were awake and able to answer questions. Two (2) of the four (4) residents had either an inability to speak or had a cognitive decline, but these two residents communicated with LPA with nodding or hand movements confirming or denying in response to questions being asked. Both residents were observed to be cared for, awake and alert, and comfortable with caregivers. Records review state resident was admitted to the facility on 9/12/24. Intake Physician report with a faxed date of 9/9/24 states R1 arrived at the facility able to handle their own ADLs, they are able to follow instructions and communicate needs. No cognitive concerns noted. At time of admittance resident was noted as “ambulatory”. Record from medical services show R1 was seen monthly, often more than once a month, and that multiple referrals were made for care. Based on interviews, and records reviewed. The allegations may have happened or is valid, but there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation is UNSUBSTANTIATED. Copy of report printed and given to Licensee.the state’s words, verbatim · CDSS document, May 13, 2025 · control 29-AS-20250327143338

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Erika Miller arrived at 12:45 p.m. to conduct a 1-year required annual visit. LPA met with Dexter Price, Administrator. A tour of the inside and outside of the facility was conducted. The following was inspected and noted during the annual visit: Infection Control: The facility has a current Infection Control Plan. The facility has at least a 30-day supply of PPE. Quarantined or isolated individuals will have meals and medication delivered to rooms. Staff are trained on infection control and the use of Personal Protective Equipment (PPE). Physical Plant & Environment Safety: LPA was authorized to enter and inspect facility. LPA toured resident rooms and observed that rooms were tidy and free of odor. The lighting and lamps are sufficient for the use of the facility and for resident comfort. Toilet, hand washing and bathing facilities are operational and secured grab bars are present. The showers have non-skid mats. The pathways are clear of any obstructions. Facility is well lit inside and outside for safety. Disinfectant and cleaning solutions are inaccessible to residents in care and locked under the kitchen sink and in garage. The facility has sufficient space inside and outside for activities and visiting. The facility has a fenced backyard for client use with plenty of shade. The facility has telephone and internet service for resident use. The fire extinguisher was last charged and inspected on January 31, 2024. The facility has smoke and carbon monoxide detectors that were tested and inspected. Continued 809-C Operational Requirements: The facility has a current plan of operation on file with the department. The Facility is operating in compliance with the granted fire clearance. The facility has current liability insurance and expires on 7/1/25. The facility is approved for a capacity of 6. The fire clearance is granted for 6 non-ambulatory of which 1 may be bedridden. Hospice waiver approved for 4 residents. The facility currently has 6 non-ambulatory residents. Staffing: The facility currently employs 5 full time staff and 1 administrator. Files reviewed had current 1st Aid/CPR, Personnel Records/Application, Health screening with TB results, Criminal Record statements, and Fingerprint clearance/Associations/exemptions. Administrator Certificate expires on 4/18/25. Personnel Records & Training: The facility keeps confidential files for each staff member. Staff have annual training completed for various subjects/topics and hours for 2023 and 2024. Resident Records & Incident Reports: The facility keeps separate files on each resident confidentially. Facility does submit incident reports to the department when required. LPA reviewed 5 resident files for signed Admission Agreements, Personal Rights, Safeguard for property and valuables, Physicians report, Pre-appraisals, Appraisals Needs and Services Plan, Emergency and ID forms, all forms were legible, and records are kept confidential. Food Service:. The facility has 2-day perishables and 7 day non-perishables to meet the food service requirement. The freezer is kept at 0 degrees and the refrigeration is kept at 40 degrees or lower. All food is covered, stored, and marked appropriately. Cleaning solutions and equipment are stored separately from food supplies. Continued 809-C Incidental Medical Services: Facility provides transportation or assists in providing transportation to medical and dental appointments when needed. The facility uses the Centrally Stored Medication and Destruct Records (CSMDR). LPA reviewed residents’ medications, no labels were altered, no medications were expired, and all medications were kept in their original containers. Disaster Preparedness: The current emergency disaster forms were posted. The facility last conducted a quarterly disaster drill/training on 7/20/24. Emergency exits and telephone numbers were posted. A set of keys is available for staff on all shifts to access full facility in an emergency. Residents with Special Health Needs: The facility does accept dementia residents in care. The facility has 2 self-latching gates on side of the home. The facility does not have delayed egress, locked doors or gates. Exit door alarms are working. Exit interview conducted and copy of report printed for Administrator.the state’s words, verbatim · CDSS document, Oct 1, 2024