Facility Evaluation Report

On 10/14/2025 at 10:00 AM, Licensing Program Analysts (LPA) Y. Brown arrived unannounced to conduct 1-Year Annual Required inspection. LPA met with Administrator (ADM), Dolly Rizvi, and explained the purpose of the visit. The facility’s fire clearance was approved for ninety nine (99) non-ambulatory residents, of which nine (9) may be bedridden and approved for eighteen (18) hospice.

LPA toured the facility with the ADM, including but not limited to residents' apartments, bathrooms, multiple activity rooms, kitchen, common area and courtyard. There are no bodies of water observed. LPA observed lighting in all rooms are adequate for the comfort and safety of the residents. The hot water temperature in a sample of resident's bathrooms were measured at 112.1,113.1, and 110.6 degrees Fahrenheit. Residents’ bathrooms are equipped with grab bars and non-skid mats. There is a minimum of one week supply of nonperishable and 2-day of perishable foods. Centrally stored medications, sharps and toxic are locked and inaccessible to residents in care.

Smoke detectors and carbon monoxide detector were in operating condition during visit.

Fire extinguisher all around the facility was last serviced on 10/16/2024. LPA reviewed six (6) staff and seven (7) resident records. LPA reviewed a sample of medication.