Facility Evaluation Report

On 7/8/2025 at 8:00 AM, Licensing Program Analyst (LPA) A Gomez conducted a case management as a result of observations made during a visit on 6/19/2025. LPA met with Administrator, Levente Nagy and explained the purpose of the visit. Facility is licensed for 6 non-ambulatory.

During todays visit LPA observed that the facility is not maintaining resident files. Administrator states that the facility maintains a MAR but that it is kept off site. LPA also observed that facility is storing R1's medication in a weekly med organizer and not keeping the medication for the week in their original container. When LPA requested to review the staff files administrator stated that they do not have the files available. While reviewing residents files for the last 3 months LPA observed that the facility was over capacity in June 2025. R3 moved into the facility when the facility was already at full capacity. R2 passed away 3 days after R3 moved in. LPA also found that the facility never sent in a death report for R2. When LPA asked administrator why there was not a death report sent in they stated that they did not know they needed to submit a report because R2 was on hospice. LPA found during the visit on 6/19/2025 that staff may be leaving residents at the facility unsupervised. On today's visit LPA spoke with administrator who confirmed that they have approved staff to leave the residents alone in the facility and advised the staff to take the call button alert system so that they would know if a resident required assistance. LPA found that staff are living in an are designated for office space and that a cosmetology related business is being ran out of the storage area