Failure to Update Facility Assessment After Change of Ownership
Penalty
Summary
Facility staff failed to review and revise the facility-wide assessment following a change of ownership that became effective on 6/1/2025. The most recent facility assessment available was dated 7/18/2024 and included information pertaining to the previous executive director, director of clinical services, and staff training/education and competencies under the former owner. During an interview, the current executive director confirmed that the assessment provided was from before the change of ownership and acknowledged that updates had not yet been made, as they were planning to address this in an upcoming QAPI meeting. No updated assessment reflecting the new ownership, leadership, or revised contracts was available at the time of the survey.