Facility Evaluation Report

At 10:00a.m., Licensing Program Analyst (LPA), Antonia Alvizar-Ettima and Regional Manager (RO), Angela Whittaker conducted a Required One (1) Year Annual visit. LPA and RO met with Manager and granted entry. Staff called the Administrator, and the purpose of visit was stated. Later the Administrator/Licensee joined us.

At about 10:35a.m., LPA, RO and manager conducted a tour of the physical plant. Required postings were observed throughout the facility. This is an RCFE with a capacity of 199. The census is currently 103. The facility consists of a three (3) floor building with a total of 100 resident bedrooms (50 bedrooms on the second level and third level), each having its own bathroom. The first floor consists of the following: a lobby area, administrative offices, function room, dining area, activities room, television room, laundry room, staff lounge, family visiting room, guest restrooms, storage rooms, kitchen, and a sitting garden. There are two operable elevators, one designated for residents and the other for staff. The temperature of the facility wall thermostat was set at 72°F and observed to be within required range. The most recent fire and disaster drills were conducted on 09/03/2025. Care and supervision to meet the resident’s needs was observed. LPA utilized the Compliance and Regulatory Enforcement (CARE) tools during the inspection and observed the following:

Bedrooms: Bedrooms in the 2nd floor has non-ambulatory residents and the 3rd floor has ambulatory residents. Bedrooms were toured and observed to be clean and properly furnished with appropriate dresser, bedding, and linens with sufficient lighting. Linen storage was also checked and observed to have an ample supply of clean linen and towels.