Facility Evaluation Report

Licensing Program Analyst (LPA) Trevor Byrne conducted a pre-licensing visit to the above noted facility. The LPA met with Administrator, Christina Gomez. This is a change of ownership application. A Hospice Waiver has been requested.

The facility is three (3) stories. At 09:10 AM, a physical plant tour was conducted inside and out. An approved fire clearance was received, clearing them for one-hundred (100) non-ambulatory and ambulatory residents. The facility has sixty-one (61) private resident bedrooms, and two (2) shared room(s), Room numbers nine (9) and fifty (50). All resident rooms are set up with beds, nightstands, lamps, chests of drawers, chairs and closet space. The beds are furnished with box springs, comfortable mattress and clean linen; which includes, a mattress pad, top and bottom linens, pillowcases, and a bedspread. Lighting in the rooms appeared adequate. The bedrooms were large enough to allow for easy passage between the beds and furniture with a wheelchair or walker. In addition, no bedroom was used as a passageway to another room, bath or toilet. All rooms were free of odors. Rooms # twenty-six (26) and sixty-three (63) were observed to contain ripped screens.

There are four (4) bathrooms in the hallway. Each resident bedroom is equipped with an attached private bathroom. The resident bathrooms have a shower with non-skid materials. All toilets and showers have appropriately secured grab bars. The hot water temperature was tested in the bathrooms and the kitchen. The kitchen water was measured to be 127.4 degrees Fahrenheit, LPA observed warning signs near the kitchen sinks.