Facility Evaluation Report

Licensing Program Analyst (LPA) Vaid conducted an unannounced annual inspection visit. LPA met with Director of Nursing Suzana Zadourian. Nursing director assisted LPA with the visit and facility tour. Administrator, Pamela Parsons, arrived shortly after and assisted with the facility tour.

The facility is licensed and has Fire clearance approval to serve for a capacity of 175 non- ambulatory residents including 25 bedridden residents, ages 60 and above. The facility has an approved Hospice Waiver on file for twenty-three (23) residents. Eighteen (18) residents currently on Hospice. Facility has an approved Dementia Care Plan in their plan of operation and accept residents with dementia. Facility does not handle residents’ monies.

During the visit, a tour of the facility, review records and interviews with staff and residents’ consisted of the following:

1. Infection Control: Infection control practices were observed. Infection control plan is on file.

2. Physical Plant/Environment Safety: The facility is in a residential neighborhood, consists of three floors and has 189 resident bedrooms and 189 resident bathrooms.

Level 1 has resident bedrooms, memory care unit, recreation/activity rooms, beauty shop, storage rooms, employee lounge, library, and laundry rooms.

2nd level is memory care, reception/lounge area, resident bedrooms, dining room, kitchen, multiple offices, recreation/activity rooms and laundry rooms.

3rd level consists of resident bedrooms, nurse's office, medication room, penthouse, recreation/activity rooms and laundry rooms.