Failure to Appoint and Maintain a Licensed Administrator
Penalty
Summary
The facility failed to have a governing body that appointed a licensed administrator, resulting in the absence of a licensed administrator since September 22, 2025. The Administrator-in-Training, who was not yet licensed, stated she was acting as the administrator but had not completed the required coursework to be eligible for state licensure. The corporate administrator, who was supposed to oversee the facility, was not physically present in the building for the required 40 hours per week and communicated only by phone. Multiple staff interviews confirmed that the corporate administrator had not been regularly present in the facility, and the Administrator-in-Training was not eligible to take the licensure exam until December 2025. Record review showed no licensed administrator listed on the staff roster, and during the survey, the administrator listed for the on-site visit was not present. The HR department head was unavailable to provide records, and other staff, including the DON and maintenance supervisor, confirmed the lack of a licensed administrator's consistent presence. The facility's failure to ensure a licensed administrator was physically present and responsible for managing the facility was directly observed and corroborated by staff interviews and documentation.