Facility Evaluation Report

At 10:00 AM, Licensing Program Analysts (LPAs) Huma Rahimi and Nicholas Reed conducted an unannounced initial complaint visit. LPAs met with the Licensee Albert Khachatryan and contacted the Administrator via telephone and explained the reason for the visit.

LPAs toured the facility at 10:15 a.m. today, interviewed residents and staff between 10:30 a.m. and 12:45 p.m., and conducted a record review at 1:00 p.m.

Between 10:00 a.m. and 3:00 p.m. LPAs Nicholas Reed and Huma Rahimi noted the following deficiencies:

Upon entering at approximately 10:00 a.m., LPAs noted a strong, foul odor near the main entrance. LPAs could smell it from the dining room. Later, around noon, LPAs smelled the strong odor as well as a strong smell of urine. LPA Reed called the administrator at 11:45 a.m. The administrator noted a resident, Resident #7 (R7), passed away last night and the odor is likely from that.

During the facility tour, LPAs observed two (02) boxes blocking access to the immediate exit of Bedroom #2. Additionally, the door had an auditory alarm on it, but there was no handle, and the door was locked. LPAs reviewed the facility sketch in which this door was noted to be an emergency exit. Facility fire clearance was approved to retain 6 ambulatory residents. However, during licensing visits, LPAs observed a non-ambulatory wheelchair bound Resident #6 (R6) residing at the facility.

During the course of investigating complaint # 31-AS-20250220180232, the administrator also noted that they did not have a medical assessment for Resident #8 (R8) available for audit. The facility also did not have any records for Resident #5 (R5), R6, and R7. File were incomplete for Resident #1 (R1), Resident #2 (R2), Resident #3 (R3), and Resident #4 (R4).