Failure to Maintain Full-Time Licensed Administrator
Penalty
Summary
The facility failed to comply with state laws by not designating a full-time, licensed administrator who was employed in the facility and serving in that capacity. Multiple interviews revealed that there was a period when the facility was without an administrator for at least one week, and the individual acting as administrator had not applied for a temporary emergency license. The license displayed in the facility belonged to another administrator who was only present in the building once a week, rather than serving full-time as required. Staff interviews confirmed uncertainty about when the licensed administrator was last physically present in the facility. Additionally, the facility did not have a policy regarding the administrator or their duties. The Regional Director of Clinical Operations acknowledged that the acting administrator was hired for the role, but the license displayed was not current for the acting administrator. The census at the time was 42 residents, and the lack of a full-time, licensed administrator had the potential to affect all residents in the facility.