Facility Evaluation Report

On 10/24/2025 at 08:20am, Licensing Program Analysts (LPAs) Zina Brown and Lizeth Villegas conducted an unannounced visit to the above facility. The purpose of today’s visit was to conduct the one-year inspection. LPAs met with Robert Jakini (Administrator) and the purpose of the visit was discussed. Facility is licensed to serve 91 non-ambulatory residents of which 10 may be bedridden, delay egress observed to be functional in memory care units which are floors, 2-4. There are 32 residents are diagnosed with dementia, 53 residents receiving home health and 10 residents receiving hospice care services. None the clients have Restricted Health Care Conditions and none are utilizing postural supports or protective devices. The facility does not handle any of the residents’ money.

The facility has a current administrator certificate (#7010468740) for Robert Jakini (Administrator) valid from 07/24/2025 - 07/23/2027. Administrator provided with upcoming annual fees info. The facility has liability insurance with (Ascot Insurance Company - NAIC # 23752) with an effective date as of (11/01/2024 - 11/05/2025 ) with each occurrence at $1,000,000 and general aggregate at $2,000,000 (policy # MAPL241000320203).

LPA's Brown and Villegas conducted a records review of (8) resident records, (8) staff records, and the facility disaster plan. Facility disaster plan is observed to be current and in compliance with Title 22 regulations at the time of visit. LPA Villegas conducted a review of (8) Resident Medication Administration Records. There are 2 medication carts that are used.