Inspection Reports for Artesian Place Assisted Living

828 McPhee Rd SW, Olympia, WA 98502, United States, WA, 98502

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Deficiencies per Year

16 12 8 4 0
2022
2023
2024
2025
Severe High Moderate Low Unclassified

Census Over Time

40 60 80 100 May '22 Sep '23 May '24 Jul '24 Sep '25 Sep '25
Census Capacity
Inspection Report Follow-Up Census: 60 Deficiencies: 0 Sep 9, 2025
Visit Reason
The Department completed a follow-up inspection of the Assisted Living Facility to verify correction of previously cited deficiencies related to medication storage and security.
Findings
The follow-up inspection found no deficiencies, confirming that previously cited medication storage and security issues were corrected. The facility secured medications in locked compartments accessible only to designated staff.
Report Facts
Resident sample size: 3 Total residents: 50 Resident sample size: 4 Resident sample size: 60
Employees Mentioned
NameTitleContext
Anissa BeardenLicensorDepartment staff who conducted on-site verification and inspection
Pamela HorlickNCI RN Complaint InvestigatorInvestigator for complaint investigation related to medication administration and storage
Clinton FridleyAdult Family Home Nurse Field ManagerSigned follow-up inspection letter
Staff AAdministratorSigned plan of correction and attestation statements
Staff BMedication TechnicianProvided statements regarding medication administration and storage
Staff CMedication TechnicianProvided statements regarding medication administration and storage
Staff DMedication AideInterviewed regarding medication administration practices
Inspection Report Follow-Up Census: 60 Capacity: 60 Deficiencies: 1 Sep 5, 2025
Visit Reason
The Department completed a follow-up inspection of the Assisted Living Facility Artesian Place on 09/05/2025 to verify correction of previously cited deficiencies related to medication services.
Findings
The follow-up inspection found no deficiencies and confirmed that previously cited medication service deficiencies were corrected. The facility had failed to ensure residents received medications as ordered and properly documented medication administration, placing residents at risk of medical complications.
Deficiencies (1)
Description
Facility failed to ensure residents received medications as ordered and failed to document medications correctly for 2 of 3 residents, placing them at risk of medical complications.
Report Facts
Residents sampled: 5 Residents sampled: 7 Deficiencies cited: 1 Residents at risk: 3
Employees Mentioned
NameTitleContext
Anissa BeardenLicensorDepartment staff who did the on-site verification and inspection.
Clinton FridleyAdult Family Home Nurse Field ManagerSigned follow-up inspection letter.
Staff AAdministratorNamed in findings related to medication administration and plan of correction.
Staff CMedication AideInterviewed regarding medication administration and documentation.
Staff GMedication AideInterviewed regarding medication administration and resident assessments.
Staff HResident Care CoordinatorNamed in service agreement and medication administration documentation.
Staff OLead Medication AideInterviewed regarding medication administration and resident care.
Staff QMedication AideInterviewed regarding medication administration and resident care.
Inspection Report Enforcement Deficiencies: 1 Jul 1, 2025
Visit Reason
The Department of Social and Health Services completed a follow-up visit to Artesian Place to address previously cited deficiencies and enforce compliance, resulting in the imposition of a civil fine.
Findings
The licensee failed to secure medications for one resident, placing the resident at risk for improper medication administration and possible incorrect record keeping. This deficiency was previously cited and remains uncorrected.
Deficiencies (1)
Description
Failure to secure medications for one resident, risking improper medication administration and incorrect record keeping.
Report Facts
Civil fine amount: 400
Employees Mentioned
NameTitleContext
Clinton FridleyRN, Field ManagerContact person for submission of Statement of Deficiencies and inquiries
Matt HauserCompliance SpecialistSigned the enforcement letter
Inspection Report Enforcement Deficiencies: 1 Jul 1, 2025
Visit Reason
The Department of Social and Health Services completed a follow-up visit to Artesian Place to assess compliance and enforce corrective actions related to previously cited deficiencies.
Findings
The facility failed to ensure residents received medications as ordered and failed to document medications correctly for two residents, resulting in both residents not receiving medications as ordered and placing them at risk of medical complications. This deficiency was previously cited and remains uncorrected.
Deficiencies (1)
Description
Failure to ensure residents received medications as ordered and failure to document medications correctly for two residents.
Report Facts
Civil fine amount: 600 Number of residents affected: 2 Days to return Plan of Correction: 10 Days to request Informal Dispute Resolution: 10 Days to request Formal Administrative Hearing: 28 Days to pay civil fine: 28
Employees Mentioned
NameTitleContext
Clinton FridleyRN, Field ManagerContact person for Plan of Correction and inquiries
Matt HauserCompliance SpecialistAuthor of the enforcement letter
Notice Deficiencies: 0 Jun 18, 2025
Visit Reason
The document confirms the scheduling of a virtual Informal Dispute Resolution meeting on June 18, 2025, to discuss disputed citations from a Statement of Deficiencies dated April 29, 2025.
Findings
The letter does not contain inspection findings but lists the citations being disputed and the representatives participating in the IDR process.
Report Facts
License number: 2542
Employees Mentioned
NameTitleContext
Logan PrattGeneral CounselParticipant representing the facility in the IDR process.
Angela PittsCommunity AdministratorParticipant representing the facility in the IDR process.
Lori WillisRegional Director of OperationsParticipant representing the facility in the IDR process.
Laci TraulsenProgram Specialist 2 / Volunteer CoordinatorAuthor of the scheduling letter for the IDR.
Inspection Report Complaint Investigation Census: 54 Deficiencies: 1 Apr 29, 2025
Visit Reason
The Department of Social and Health Services completed a Full Inspection and Complaint Investigation at the assisted living facility Artesian Place on April 29, 2025.
Findings
The licensee failed to follow and implement safe food handling and storing practices in two areas, placing 54 residents at risk for food-borne illnesses. This deficiency was recurring, having been previously cited on three prior dates.
Complaint Details
The visit was complaint-related and included a full inspection. The deficiency related to food sanitation was substantiated and resulted in a civil fine.
Deficiencies (1)
Description
Failure to follow and implement safe food handling and storing practices in two areas reviewed.
Report Facts
Civil fine amount: 900 Residents at risk: 54 Previous deficiency citation dates: 3
Employees Mentioned
NameTitleContext
Matt HauserCompliance SpecialistSigned the imposition of civil fine letter.
Cory CisnerosField ManagerContact person for the facility regarding the inspection and plan of correction.
Inspection Report Enforcement Deficiencies: 9 Apr 29, 2025
Visit Reason
The document is an Informal Dispute Resolution (IDR) result addressing disputes raised by the facility in response to a Statement of Deficiencies (SOD) report dated April 29, 2025.
Findings
The IDR process reviewed materials, oral statements, and records related to the SOD. Several deficiencies were deleted, some upheld, and one withdrawn at IDR. There is no change to the previously imposed enforcement action.
Deficiencies (9)
Description
WAC 388-78A-2600
WAC 388-78A-2821
WAC 388-78A-2474
WAC 388-78A-2150
WAC 388-78A-2100
WAC 388-78A-2140
WAC 388-78A-2230
WAC 388-78A-2240
WAC 388-78A-2210
Employees Mentioned
NameTitleContext
Staci DilgIDR Program ManagerSigned the IDR results letter and is the contact for questions.
Inspection Report Complaint Investigation Census: 54 Deficiencies: 13 Apr 15, 2025
Visit Reason
The investigation was conducted due to a complaint related to discharge at Artesian Place Assisted Living Facility.
Findings
The investigation found no substantiated concern related to discharge. However, multiple deficiencies were identified including failures in food sanitation, maintenance, medication administration, staff training, resident service agreements, medication refusals, and medication availability.
Complaint Details
Complaint related to discharge was investigated and found to be unsubstantiated.
Deficiencies (13)
Description
Failed to follow and implement safe food handling and storing practices in dining room and kitchen, placing all residents at risk for food-borne illnesses.
Failed to provide a safe, sanitary, and well-maintained environment in the mechanical storage room and exterior grounds, including unsecured flower boxes and exposed nails.
Failed to record and retain documentation when changes to the original food menu occurred.
Failed to ensure completion of character, competence, and suitability (CCS) forms for a sampled staff member.
Failed to ensure tuberculosis testing was administered and read by qualified personnel and within required time frames for sampled staff.
Failed to ensure resident pets had regular veterinary examinations and certifications to be free of diseases transmittable to humans.
Failed to ensure facility orientation training was completed for a staff member and continuing education was completed for another staff member.
Failed to ensure resident service agreements were signed timely by residents and facility representatives for sampled residents.
Failed to ensure clinical assessments for assistive devices and medication assessments were completed by qualified assessors for sampled residents.
Failed to notify physicians and follow up on medication refusals for sampled residents.
Failed to obtain prescribed medications in a correct and timely manner for sampled residents, resulting in missed doses.
Failed to ensure residents received medications as prescribed, including failure to hold medications when vital signs were out of physician-ordered parameters.
Failed to ensure medication administration was conducted safely, including failure to provide alcohol wipes prior to insulin injections.
Report Facts
Resident sample size: 7 Total residents: 54 Deficiency citations: 13
Employees Mentioned
NameTitleContext
Anissa BeardenInvestigatorConducted the complaint investigation.
Staff AAdministratorNamed in multiple findings related to staff training, medication administration, and facility management.
Staff HResident Care CoordinatorNamed in findings related to resident assessments, medication administration, and service agreements.
Staff NOffice ManagerResponsible for tracking staff training and resident pet records.
Staff QMedication AideNamed in medication administration and refusal findings.
Staff FMedication AideNamed in medication administration and refusal findings.
Staff GMedication AideNamed in medication administration and refusal findings.
Staff OLead Medication AideNamed in medication administration and refusal findings.
Inspection Report Renewal Deficiencies: 1 Jan 15, 2025
Visit Reason
The Office of the State Fire Marshal conducted a renewal licensing inspection at the facility as part of the renewal process for licensed Assisted Living Facilities.
Findings
The inspection found that sensitivity testing is required for all smoke detectors. The facility's approval status was disapproved at the time of this inspection.
Deficiencies (1)
Description
Sensitivity test is required for all smoke detectors.
Report Facts
Next inspection scheduled date: Feb 15, 2025
Employees Mentioned
NameTitleContext
Pat WhiteMaintenanceNamed as Owner or Authorized Representative in the inspection report
Raul MurciaDeputy State Fire MarshalConducted the inspection
Inspection Report Plan of Correction Deficiencies: 0 Jul 29, 2024
Visit Reason
This document reports the results of an Informal Dispute Resolution (IDR) process regarding disputed deficiencies from a Statement of Deficiencies (SOD) report dated 2024-05-09.
Findings
After review and consideration of materials, oral statements, and records, the decision was made not to change the original SOD report dated 2024-05-09.
Report Facts
Days to complete corrections: 45 Days to return Plan/Attestation Statement: 10
Employees Mentioned
NameTitleContext
Scotti BowerIDR Program ManagerSigned the IDR results letter.
Cory CisnerosField ManagerContact person for mailing the Plan/Attestation Statement.
Inspection Report Follow-Up Census: 59 Deficiencies: 0 Jul 3, 2024
Visit Reason
The Department completed a follow-up inspection of the Assisted Living Facility on 07/03/2024 to verify correction of previously cited deficiencies.
Findings
The follow-up inspection found no deficiencies and confirmed that the facility meets the Assisted Living Facility licensing requirements. Previously cited deficiencies related to food sanitation were corrected.
Report Facts
Residents at risk: 59
Employees Mentioned
NameTitleContext
Celeste VasheyALF LTC LicensorDepartment staff who did the on-site verification during the follow-up inspection.
Cory CisnerosField ManagerSigned the follow-up inspection report letter.
Inspection Report Complaint Investigation Census: 60 Deficiencies: 1 Jun 27, 2024
Visit Reason
The inspection was conducted as an unannounced on-site complaint investigation triggered by a public report alleging the facility failed to administer medications to residents as prescribed.
Findings
The investigation found that facility staff did not follow policies for safe medication administration, leaving residents to take medications unattended after delivery. Medications were observed on the floor in a resident's room but documented as given, indicating failed practice.
Complaint Details
Complaint involved quality of care/treatment regarding failure to administer medications as prescribed. The complaint was substantiated with failed provider practice identified and citations written.
Deficiencies (1)
Description
Failure to implement systems that support and promote safe medication services, resulting in residents not receiving medications as prescribed and medications being left unattended.
Report Facts
Total residents: 60 Resident sample size: 3 Closed records sample size: 0
Employees Mentioned
NameTitleContext
Paul AubeALF NCI InvestigatorInvestigator who conducted the on-site complaint investigation
Staff BMedication AideInterviewed regarding medication administration process and observed practices
Staff CCaregiverInterviewed about observations of medication administration and resident medication handling
Staff DMed AideInterviewed about medication administration process and identification of pills found on floor
Staff AAdministratorProvided statements regarding medication administration practices and staff education
Inspection Report Complaint Investigation Census: 59 Deficiencies: 2 Jun 20, 2024
Visit Reason
The inspection was conducted as an unannounced on-site complaint investigation regarding allegations of financial exploitation and retaliation by facility management when staff or residents expressed concerns.
Findings
The investigation found that the facility failed to ensure residents and staff were not retaliated against for reporting concerns, resulting in a failed practice related to resident rights and dignity. The claims of financial exploitation were unable to be substantiated, but fear of retaliation was pervasive among residents and staff.
Complaint Details
The complaint involved public reports of the facility failing to provide care and services as per resident contract and reports of retaliation by facility management against staff or residents who expressed concerns. The financial exploitation claims were unsubstantiated, but the facility was found to have failed to prevent retaliation, creating fear among residents and staff.
Deficiencies (2)
Description
Facility failed to ensure staff were not retaliated against for making required reports to the Department and failed to ensure residents were not retaliated against for making reports of their concerns to facility management, placing all 59 residents at risk for infringement of resident rights, potential ongoing abuse/neglect, and decreased quality of life.
Facility failed to ensure residents were treated with dignity and respect, resulting in mistreatment and decreased quality of life for all 59 residents.
Report Facts
Total residents: 59 Resident sample size: 3
Employees Mentioned
NameTitleContext
Paul AubeInvestigatorInvestigator who conducted the complaint investigation
Jody JustField ManagerField Manager who signed the report and correspondence
Staff AExecutive Director alleged to have mistreated residents and retaliated against staff and residents
Former Staff 1Former facility caregiverInterviewed staff who reported fear of retaliation and described termination due to reporting concerns
Inspection Report Follow-Up Census: 59 Deficiencies: 1 May 13, 2024
Visit Reason
The Department of Social and Health Services completed a follow-up visit to Artesian Place to verify correction of previously cited deficiencies.
Findings
The licensee failed to properly store and label food in one kitchen, placing all 59 residents at risk for potential foodborne illness. This deficiency was uncorrected and recurring, previously cited on September 6, 2023, and May 19, 2023.
Deficiencies (1)
Description
Failure to properly store and label food in one kitchen.
Report Facts
Civil fine amount: 600 Residents at risk: 59
Employees Mentioned
NameTitleContext
Matt HauserCompliance SpecialistSigned the imposition of civil fine letter.
Cory CisnerosField ManagerContact person for plan of correction and follow-up communication.
Inspection Report Complaint Investigation Census: 58 Deficiencies: 1 May 9, 2024
Visit Reason
The investigation was conducted due to a public report alleging violation of resident rights and failure to ensure protected health information remained confidential at the Assisted Living Facility.
Findings
The investigation validated multiple HIPAA violations where resident information was discussed with non-employed persons, resulting in a substantiated claim and identification of failed provider practice.
Complaint Details
Multiple staff interviews validated HIPAA violations for resident information. Resident information was discussed with non-employed persons. Claims substantiated. Failed practice identified.
Deficiencies (1)
Description
Failure to ensure the resident right to privacy and confidentiality of personal health information, placing all 58 residents at risk for breach of confidentiality and decreased quality of life.
Report Facts
Total residents: 58 Resident sample size: 3 Complaint numbers referenced: 4
Employees Mentioned
NameTitleContext
Paul AubeALF NCIDepartment staff who conducted on-site verification and investigation
Cory CisnerosField ManagerSigned correspondence and report related to inspection and findings
Myrtle PittsAdministratorSigned plan of correction and attestation statements
Inspection Report Complaint Investigation Census: 62 Deficiencies: 1 Mar 21, 2024
Visit Reason
The inspection was conducted due to a public complaint alleging that the facility refused to re-admit a resident after being sent to the hospital for evaluation.
Findings
The investigation found that the facility failed to provide a Discharge Notice/Letter to the resident or their representative after determining the resident exceeded the level of care the facility could safely provide. This failure resulted in the resident being discharged without proper notice and forced to find alternate placement.
Complaint Details
Complaint involved a public report of the facility refusing to re-admit a resident after hospital evaluation. The complaint was substantiated with a failed practice identified.
Deficiencies (1)
Description
Facility failed to provide a thirty-day written notice to residents or their representatives for discharge when the resident's care exceeded the facility's level of care.
Report Facts
Total residents: 62 Resident sample size: 5 Closed records sample size: 3
Employees Mentioned
NameTitleContext
Paul AubeALF NCI InvestigatorInvestigator who conducted the on-site verification and investigation
Inspection Report Renewal Deficiencies: 4 Dec 13, 2023
Visit Reason
The inspection was conducted by the Office of the State Fire Marshal as a renewal licensing inspection for the residential care facility Artesian Place.
Findings
The facility was found to have multiple violations including failure to provide required documentation for the automatic sprinkler system, failure to maintain sprinkler heads, failure to provide certification for fire-extinguishing system personnel, and failure to maintain fire door inspection and testing standards.
Deficiencies (4)
Description
Facility failed to provide documentation for the automatic sprinkler system including five-year internal pipe testing, annual forward flow test on the backflow, and five-year hydrostatic test on the fire department connection.
Facility failed to maintain sprinkler head located in utility room across from Director's Office; sprinkler head blocked by light fixture.
Facility failed to provide documentation showing service technician for the kitchen suppression system holds ICC certification.
Facility failed to maintain storage room door located across from room 318; door not latching.
Report Facts
Inspection date: Dec 13, 2023 Next inspection scheduled: Jan 13, 2024
Employees Mentioned
NameTitleContext
Raul MurciaDeputy State Fire MarshalConducted the inspection and signed the report
Angela PittsAssistant AdministratorSigned as Owner or Owner's Representative
Inspection Report Enforcement Census: 59 Deficiencies: 1 Sep 6, 2023
Visit Reason
The Department of Social and Health Services conducted a follow-up visit to Artesian Place to assess compliance and enforce corrective actions related to previously cited deficiencies.
Findings
The facility failed to prevent food contamination by serving expired and spoiled foods, did not ensure proper hand hygiene, and failed to maintain cleanliness in the kitchen area. These deficiencies placed all 59 residents at risk for potential food borne illness and resulted in a civil fine.
Deficiencies (1)
Description
Failure to prevent food contamination by serving expired and spoiled foods, failure to ensure proper hand hygiene, and failure to maintain kitchen cleanliness.
Report Facts
Civil fine amount: 300 Residents at risk: 59
Employees Mentioned
NameTitleContext
Matt HauserCompliance SpecialistSigned the enforcement letter
Cory CisnerosField ManagerContact person for plan of correction and appeals
Inspection Report Complaint Investigation Census: 52 Deficiencies: 1 May 19, 2023
Visit Reason
The Department of Social and Health Services conducted a complaint investigation at Artesian Place assisted living facility on May 19, 2023, due to allegations related to food sanitation violations.
Findings
The investigation found that the licensee failed to prevent food contamination by serving expired and spoiled foods, did not ensure proper hand hygiene during food preparation, and failed to maintain cleanliness in the kitchen and food preparation areas. These violations placed all 52 residents at risk for potential food borne illness.
Complaint Details
Complaint investigation completed on May 19, 2023, resulting in a civil fine due to food sanitation violations placing residents at risk.
Deficiencies (1)
Description
Failure to prevent food contamination by serving expired and spoiled foods, failure to ensure proper hand hygiene during food preparation, and failure to maintain cleanliness in kitchen and food preparation areas.
Report Facts
Civil fine amount: 300 Resident census: 52
Employees Mentioned
NameTitleContext
Matt HauserCompliance SpecialistSigned the letter regarding the imposition of civil fine.
Cory CisnerosField ManagerContact person for plan of correction and appeals.
Inspection Report Complaint Investigation Census: 81 Deficiencies: 1 Apr 25, 2023
Visit Reason
The inspection was conducted due to complaints alleging multiple falls of a resident prior to hospitalization, failure to follow medical provider orders regarding notification of abnormal blood pressures, and failure to notify the case manager of alleged falls.
Findings
The investigation found no failed practice related to falls or notification to the case manager, but identified a failed practice in medication administration where the facility failed to administer medications as prescribed to two residents, placing them at risk for side effects of low blood pressure.
Complaint Details
Complaint investigation regarding multiple falls, failure to notify medical provider of abnormal blood pressures, and failure to notify case manager of alleged falls. Failed practice identified related to medication administration; no failed practice identified for falls or notification issues.
Deficiencies (1)
Description
Facility failed to administer medications as prescribed for two of three sampled residents, placing residents at risk for side effects of low blood pressure.
Report Facts
Total residents: 81 Resident sample size: 3 Compliance Determination Completion Dates: Completion dates 2023-05-24 and 2023-09-06 mentioned
Employees Mentioned
NameTitleContext
Maria SalasALF Complaint InvestigatorInvestigator who conducted the complaint investigation
Anissa BeardenLicensorDepartment staff who did the on-site verification
Manfay ChanField ManagerSigned the follow-up inspection letter
Angela PittsAdministratorSigned Plan of Correction documents
Inspection Report Renewal Deficiencies: 3 Dec 20, 2022
Visit Reason
The inspection was conducted by the Office of the State Fire Marshal as a renewal licensing inspection for the residential care facility Artesian Place.
Findings
The facility was found to have multiple violations including failure to maintain electrical outlets, failure to provide documentation of annual fire wall inspection, and failure to maintain the fire extinguishing system for the kitchen suppression system. Previous violations noted in a later inspection on 2023-02-01 were corrected.
Deficiencies (3)
Description
Facility failed to maintain electrical outlets in rooms 317 and 208 due to broken ground.
Facility failed to provide documentation of annual fire wall inspection.
Facility failed to maintain fire extinguishing system for the kitchen suppression system; water-based system was deficient.
Report Facts
Next inspection scheduled date: Next inspection scheduled on or after 2023-01-20
Employees Mentioned
NameTitleContext
Raul MurciaDeputy State Fire MarshalConducted the inspection and signed the report
Lori LuzaderAdministratorAuthorized Facility Representative signing the report
Inspection Report Complaint Investigation Census: 46 Deficiencies: 2 May 13, 2022
Visit Reason
The Department completed a complaint investigation of the Assisted Living Facility on 05/13/2022 due to complaints regarding failure to notify the DSHS Social Worker about resident discharge and social leave.
Findings
The facility failed to notify the DSHS Social Worker of a resident who discharged and another resident on social leave within the appropriate time frame, violating admission, transfer, and discharge rights.
Complaint Details
Complaint numbers 27665 and 31131 were investigated and substantiated with findings that the facility did not meet Assisted Living Facility requirements related to notification of social worker on resident discharge and social leave.
Deficiencies (2)
Description
Facility failed to notify the DSHS Social Worker of a Resident who discharged from the facility within the appropriate time-frame.
Facility failed to notify the DSHS Social Worker of a Resident on Social Leave within the appropriate time-frame.
Report Facts
Total residents: 46 Resident sample size: 4 Closed records sample size: 1
Employees Mentioned
NameTitleContext
Paul AubeALF NCI / InvestigatorDepartment staff who did the inspection and provided consultation
Jody JustField ManagerSigned letter and contact for clarification
Notice Deficiencies: 0 Artesian Place 2542 40951 05 09 24 Sched Ltr 0624
Visit Reason
This letter confirms the request for an Informal Dispute Resolution (IDR) meeting to dispute a citation from the Statement of Deficiencies dated May 9, 2024.
Findings
The document does not contain inspection findings but schedules an IDR meeting to discuss the disputed citation WAC 388-78A-2660.
Report Facts
IDR meeting date: Scheduled for July 24, 2024 at 1:30pm Citation number: WAC 388-78A-2660
Employees Mentioned
NameTitleContext
Logan PrattGeneral CounselParticipant representing the facility in the IDR process
Angela PittsAdministratorParticipant representing the facility in the IDR process
Lori WillisRegional Director of OperationsParticipant representing the facility in the IDR process
Notice Deficiencies: 0 Artesian Place 2542 41663 062024 IDR Request Denied 0724
Visit Reason
The document informs the facility that their Informal Dispute Resolution (IDR) request for the Statement of Deficiencies dated June 20, 2024, was denied because it was submitted after the required 10 working day timeframe.
Findings
The IDR request was denied without further process due to late submission, as the request was emailed on July 12, 2024, after the July 10, 2024 deadline.
Report Facts
Date of Statement of Deficiencies: Jun 20, 2024 Date IDR request received: Jul 12, 2024 Date SOD received by facility: Jun 25, 2024 IDR request deadline: Jul 10, 2024
Employees Mentioned
NameTitleContext
Kim FrieszIDR Unit ManagerSigned the denial letter for the Informal Dispute Resolution request
Rebecca FuestonReferenced as the person for whom Kim Friesz signed the letter

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