Failure to Timely Notify State Agency of Administrator Changes
Penalty
No penalty information released
The penalty, as released by CMS, applies to the entire inspection this citation is part of, covering all citations and f-tags issued, not just this specific f-tag. For the complete original report, please refer to the 'Details' section.
Summary
The facility failed to notify the State Agency within the required five working days following changes in the Administrator position, as mandated by licensure regulations. Record review showed that the Change of Administrator Notification Form for an administrator change occurring between 11/19/2025 and 11/20/2024 was not submitted to the State Agency until 12/16/2025. Similarly, for another administrator change between 6/10/2025 and 6/11/2025, the notification form was not sent until 7/12/2025. Interviews with the administrator and facility owner confirmed that both notifications were submitted outside the required timeframe. This deficiency had the potential to affect all 39 residents in the facility.