Facility Evaluation Report

On 10/08/24, Licensing Program Analyst (LPA) Ernand Dabuet conducted an unannounced annual required visit using the CARE Inspection Tool. LPA met with administrator Cheresa Reyes. LPA explained the purpose of today’s visit. The facility is licensed to operate for (6) non-ambulatory of which (1) maybe bedridden elderly adults ages 60 and above. Currently, the facility has (2) hospice resident in care. The facility is approved for (6) hospice residents.

The facility consists of one-story level: (4) resident bedrooms, (2) staff bedrooms, (1) bathroom, kitchen, dining room, living room/activity room and an outside patio.

LPA toured the physical plant. There were no bodies of water on the premises. All rooms were inspected. Beds and bedding supplies were in operational condition, lighting was provided, and storage for the resident's personal belongings was observed. Bed linens, comforters, and bath towels were available during the visit. Bathrooms were operational with water temperature measured at 114.8 degrees F. A comfortable temperature of 77 degrees F. was maintained in the facility.

LPA observed the facility to be furnished at the time of the visit. Storage areas for personal hygiene and sharps objects were stored and not accessible to residents. The kitchen was inspected, and sufficient perishable and non-perishable food was maintained adequately. Fire extinguisher were charged. The facility has conducted emergency fire drills on 10/01/24. A review of the Medication Administration Record (MAR) was observed to be maintained in order.