Failure to Appoint Licensed Administrator
Penalty
Summary
The facility failed to ensure that its governing body appointed a state-licensed administrator to be responsible for the management of the facility. According to interviews and record reviews, the facility had not had a licensed administrator since the previous administrator was terminated on 07/16/2025. The acting administrator in training (AIT) was not licensed and had not received a formal offer for the administrator position. The AIT stated she was still in training and had not yet submitted the required hours to the licensing department or applied to take the licensing exam. Multiple staff interviews confirmed the absence of a full-time, licensed administrator, with the Director of Nursing and the Medical Program Director both acknowledging that the AIT was acting in the administrator role without the necessary licensure. Review of facility policy indicated that a licensed administrator is required to oversee the day-to-day functions of the facility, and a copy of the current license should be maintained on the premises. The lack of a licensed administrator was directly observed and confirmed through staff interviews and record reviews.