Twelve Bridges Residence

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Allegation investigated: Staff member handled resident(s) in a rough manner while in care. Licensee retaliated against resident in care. Staff do not ensure that resident's needs are met while in care. Staff did not ensure that resident(s) were provided a comfortable temperature while in care.

Licensing Program Analyst (LPA) Melissa Parks arrived on Thursday July 16, 2026, unannounced to conclude a complaint investigation which the Department received on 7/1/2026. LPA met with staff and explained the purpose of the visit. LPA interviewed staff and R1’s hospice nurse regarding the allegations. LPA reviewed R1’s file including physicians report, medication list, preplacement appraisal, needs and services plan, and admission agreement. LPA learned the following: R1’s responsible party has a camera in the room. They are able to hear when R1 yells. According to interviews, R1 will yell when staff are repositioning or providing care. Per staff, they are frequently in the room providing care. R1 is diagnosed with vascular dementia. According to R1’s physicians report, they experience hallucinations and disorientation. Unfounded Per the administrator, there was a discussion of eviction with R1’s responsible party. R1's responsible party and the administrator acknowledged that no written eviction notice was provided. R1 remains that the facility. LPA interviewed staff who stated that R1 is fed the same meals which are provided to the other residents. The facility follows a weekly menu. On 7/8/2026, LPA observed R1’s lunch plate which consisted of chopped meat, potatoes and bread. According to staff, R1 is repositioned frequently. R1 does not currently have any skin issues. R1 was admitted to the facility with a stage 2 pressure sore but this has resolved. The facility has 24 hour awake staff to provide care as needed. LPA reviewed R1’s medication list. R1 is prescribed two medications for a skin rash: one pill and a topical ointment. Per the medication list, both medications had a start date of February 2026. R1 moved into the facility in May 2026. R1 was diagnosed with a rash at their previous residence and began treatment before moving into this facility. Per R1’s hospice nurse, the rash is not due to lack of care or the facility temperature. Additionally, the facility maintains the air conditioning between 72 and 74 degrees. LPA observed the temperature to be 73 degrees on 7/8/2026 and 7/16/2026. R1 has a fan in their room provided by their responsible party which can be used as needed. Based on the evidence provided, the preponderance of evidence standards was not met, therefore, the above allegations are found to be UNFOUNDED. An unfounded allegation means that the allegation was false, could not have happened and/or is without a reasonable basis. Exit interview conducted. A copy of this report was left at the facility.the state’s words, verbatim · CDSS document, Jul 16, 2026 · control 59-AS-20260701113507

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Melissa Parks arrived on November 12, 2025 to conduct an annual inspection. LPA met with the Administrator. There are currently no residents in care. LPA and Administrator toured the facility together. LPA observed the resident rooms, bathrooms, common area, garage and kitchen. No deficiencies cited during todays visit. Exit interview conducted. A copy of this report was emailed to the Administrator.the state’s words, verbatim · CDSS document, Nov 12, 2025

Type of visit: Prelicensing

Licensing Program Analysts (LPA) Graham Gunby and Cheyenne Ratajczak arrived on Thursday November 14, 2024 to conduct an announced prelicensing visit. The Compliance and Regulatory Enforcement Tool was used during today's inspection. All files contained the required paperwork. This facility has a fire clearance for 6 (six) nonambulatory, of which 2 (two) can be on hospice and 1 (one) bedridden. Facility has all required postings in the hallway. LPAs toured the facility with the administrator. The following areas were inspected for compliance: kitchen, backyard, resident bedrooms, bathrooms, and common areas. Facility has current fire extinguisher and a full first aid kit. Medications will be kept locked in a cabinet in the hallway. Cleaning chemicals and knives/sharps are kept locked and inaccessible to residents. Component III has been completed at this time. The facility appears to be in substantial compliance and ready for licensure. The license will be granted upon completion of a final review and approval from the Licensing Program Manager and the Central Applications Bureau. An exit interview was conducted with Administrator and a copy of this report will be left at the facility.the state’s words, verbatim · CDSS document, Nov 14, 2024

Type of visit: Office

Component II completion: Successful Facility Type: RCFE Application Type: INTL Capacity: 6 Census : 0 Method: Telephone call with CAB COMP II Participants: Diana Tullgren (Administrator/Licensee) & Tammy Edwards (Analyst). Administrator/Licensee participated in COMP II via telephone call with CAB analyst. Identification of the Administrator/Licensee was verified by confirming driver’s license number. During COMP II, Administrator/Licensee confirmed the understanding of Title 22. Component II was successfully completed. Administrator/Licensee was advised to email signed LIC 809 with copy of photo ID to CAB. During COMP II, CAB analyst confirmed Administrator/Licensee's understanding of following areas: 1. Facility operation: License type, client/resident populations, and program 2. Admission Policies 3. Staffing requirements & Training 4. Restrictive/Prohibited Health Conditions 5. General provisions 6. Emergency Preparedness 7. Complaints & Reporting 8. Pre-licensing readinessthe state’s words, verbatim · CDSS document, Oct 1, 2024